Is it possible to shift my breast pocket to obtain cleavage? Will this increase he risk of symmastia occurring? (photos)

Hello, thank you for your question. Often times some patients with wide cleavage think an implant will help improve the cleavage but actually we can not change the cleavage without risking symmastia of the midline. One thing that may improve the appearance is fat grafting to the area. Speak to your plastic surgeon about this option.

Dear Marie_go,
many women seek improved cleavage. Narrowing the cleavage plane can be done very carefully by a skilled surgeon. Moving the implants too far medially can result in synmastia or unaboob which is very difficult to correct. That being said, the right amount of pocket dissection and implant selection can create excellent cleavage.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

You will need a bigger implants to get the cleavage, if the surgeon do it properly it’s no problem, you won’t have symmastia

Anatomy does play a role in cleavage, a wider natural sternum may limit cleavage. With breast augmentation, pockets are developed to fit the breast implant; at times this capsule needs to be released medially to help give more cleavage. Too much dissection, can risk symmastia and rippling. At times, mesh can help support the breast implant from dropping to the side.

Thank you for your question. A large portion of my practice is dedicated to revision breast surgery. Your situation is very common. I have treated this many times with the internal bra-capsulorrhaphy surgery with a mirror image capsulotomy-opening up the pocket. In fact, I wrote the very first paper on this procedure. You should be able to have a very nice cleavage without risking symmastia. Best wishes to you.