How to make my breast implants look fuller and appear to have more cleavage! (Photo)

Question

I am 145 pounds and 5'3. I went from 400cc saline, moderate profile to 650cc silicone high profile. I still feel like I have little cleavage. I have met people with smaller implant size but their breast implants appear fuller. If I lose some weight will my breast implants look bigger? I’m pretty frustrated I spent all this money again for little difference. Is this common, is it because I have little breast tissue to begin with?

Donald R. Revis Jr, MD · Answer

Good evening,It is likely the case where your pockets are just a little too large for your implants, and I would correct this with the Original Internal Bra, my strong permanent internal suturing technique which lifts and supports your implants over the long term, providing much better upper pole fullness and cleavage!

Daniel Barrett, MD · Answer

Dear Jubilant3005,
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. 
Breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Charles Nduka, MD · Answer

Perhaps what you needed wasn't a bigger implant, but a more medially placed ones to improve the cleavage. a Breast lift may have also helped shaping the breasts to appear perkier. It would be best to schedule an appointment with a board certified plastic surgeon you can rely on to have an extensive examination for optimal results.

Tom J. Pousti, MD · Answer

I am sorry to hear about your concerns after breast augmentation surgery. It is difficult to provide you with specific/meaningful assessment and advice based on the limited photograph.
 Generally speaking, the patient's specific anatomy (for example, relatively wide space between the breasts) may limit how close the medial breast folds (cleavage) will be after breast augmentation surgery.   Also, a patient's nipple/areola complex position must also be taken into account; keep in mind that the breast implants must be centered  appropriately under each nipple/areola complex. Otherwise, the nipple/areola complexes will seem off-center on each breast mound.
You may wish to review your concerns with your plastic surgeon and/or seek second opinion consultation with board-certified plastic surgeons who can demonstrate significant experience helping patients with revisionary breast surgery.    Best wishes.

How to make my breast implants look fuller and appear to have more cleavage! (Photo)

Answers (4)

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