Is it possible to obtain more cleavage? Why did I get such a big space between my chest after BA? (photos)

Question

Is it possible to have cleavage with my wide chest ? I don't know why I got a big space between my chest after BA. However, my PS never told me I will have separate breast after BA.. I am very disappointed. However, I think it is something PS has to inform before the procedure...

Paul Vitenas, Jr., MD · Answer

Thank you very much for your question and
photographs. This is a common query, as many women are looking to improve their
cleavage with a breast augmentation procedure. However, there is no way to
increase cleavage, no matter how large of an implant is used. The distance
between the breasts will remain the same. By increasing the breast size, the
natural amount of cleavage is magnified, and therefore may look more pronounced
after surgery. If you have any further concerns, I suggest reaching out to your
operating surgeon, who can further explain the difficulty in creating
additional cleavage.

Gerald Minniti, MD, FACS · Answer

Hello,Looking at your preoperative photo, you could have had a nice, natural result with not a whiff of excessive gap, using lower profile implants.  The catch is that you would have had to abandon your size goals (which were not really reasonable based on your anatomic capacity anyway), and use a smaller implant. Nothing to do now but heal and re-visit this issue later.  Best of luck!

Jerome H. Liu, MD · Answer

Thank you for your question! The space between your breasts is called the intermammary distance. During your examination at your consultation appointment, your surgeon likely measured this. This measurement is important to consider when marking and preparing for surgery, and it is unique to each individual patient. This distance can be addressed with surgery, but results can depend on the patient's anatomy. Consult your board-certified plastic surgeon regarding your concerns.

Daniel Barrett, MD · Answer

Dear LOLALOLA11,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. I would suggest you to discuss your concerns with your plastic surgeon.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Ted Eisenberg, DO, FACOS, FAACS · Answer

Breast implants in general do not create cleavage. They enhance your current shape and give more volume. The increased volume makes it easier to create cleavage in clothes. A "uniboob" or symmastia  is created when the breasts connect over the breastbone.Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author

Lawrence Scott Ennis, MD, FACS · Answer

The best way to pick implant size is based on your breast and chest width and not the volume (cc). As the implants get bigger, they get wider. When the width of the implant fits the width of your chest, it will look nice and fit your frame. If the implants are too small, you will have a gap between them and they may look too far apart. If they are too wide, they will make you look top heavy as they may be too wide and stick well out past the sides of your chest. There are ways to get a bigger or smaller look. This can be done by picking a different implant profile. If someone has a very narrow chest and wants to be big, they should consider a higher profile implant. If someone has a broad chest and they desire cleavage, they should consider a lower profile implant such as a moderate. A consultation with a board certified plastic surgeon who takes careful measurements and talks to you about your cup size goals will be able to assist you in your decision.

Julio C. Pena Encarnacion, MD · Answer

The cause of this is because the muscles on the chest separate your breast. And the implants weight simply amplifies the effects. There is little that can be done besides some slight corrections around the size of the implants (Which means you will get smaller breast if you do). 
However, you could wear a bra that improves cleavage.

Maria M. LoTempio, MD, FACS · Answer

Depending on the size and shape of the implant a space can be noticeable after surgery.  However moving the implants more towards the center or wearing a compression bra can help them settle in. Good luck!

Vasdev Rai, MD · Answer

Muscle attachments to sternum keep breast cleavage apart in case of submuscular implants. Cleavage requires subglandular implants.

Julio Clavijo-Alvarez, MD, MPH, FACS · Answer

I am sorry that you are having issues about your procedure and thanks for sharing your question. I can appreciate your concern.
The space is simply the consequence of having muscles that are far apart from the midline. In your case is God's given foot print. Your breasts were very small, and putting the implants on top, may have resulted in significant rippling.  Overall you a a pleasing looking breast. you may get your cleavage by using push up bras since you have more volume with the implants.Wishing you the best in your journey

Is it possible to obtain more cleavage? Why did I get such a big space between my chest after BA? (photos)

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