Will I have a wide cleavage? (Photo)

Question

5’3 114 pounds 32 (a cup) Also does your pocket go all the way to the chest bone or do doctors stop dissecting the pocket before the bone? How wide do you think my cleavage will be compared to my wish pictures

Donovan Rosas, MD · Answer

The spacing of the breast (cleavage) is defined by the pocket. The pocket is defined by the plane of augmentation. When placed submuscular, the medial/middle limit is the sternal origin of the muscle. Wide sternum = greater separation of the breasts = less dramatic cleavage. This space can be narrowed (with some risk of symmastia) when the devices are placed subglandular or "over" the muscle. There is no muscle obstructing a medial push, however, there is a higher risk of over-dissection and mid-line migration of the implant (the dreaded "uni-boob").
Alternatively fat grafting can be used to build up tissue volume in the central aspect over the muscle creating the illusion of cleavage. However, as with any fat grafting procedure, the results can be unpredictable based on graft take vs. resorption.Based upon your photos, you do not appear to have widely spaced breasts and should obtain a very nice result.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Scott Tucker, MD · Answer

Your anatomy is such that you should have good cleavage after a breast augmentation.  This is because you don't have a large space between your breasts pre operatively.  A breast augmentation will make this even better.
Good luck with your surgery,
Dr. T

Luis M. Rios Jr., MD · Answer

Great question and photos!Taking a look at your photos, you have probably have less separation than most of the patients plastic surgeons see. So, I expect you to get a great result.In order to get the best cleavage possible, you and your surgeon will have to work together:1) Take your wish photos to your Plastic Surgeon, so that he can see if he can meet your expectations.2) Go through a sizing process with your surgeon to determine what sizes you are comfortable with.3) Your surgeon will examine you and measure your chest to determine what width (profile) of the size you chose will maximize your cleavage.During surgery, experienced Plastic surgeons will create a pocket up to the level of the sternum (chest bone) to maximize cleavage but not cause synmastia ("uniboob"). This process is very important and its successful outcome is usually tied with the years of experience the plastic surgeon brings to the table. That is why finding an experienced Board Certified Plastic Surgeon is important.In your case, you might get close to the results you are hoping for. You might not get the exact cleavage in all the pictures, but you should have a very satisfactory outcome.Good Luck!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  You will have improved cleavage, without a large gap.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.  This entire surgery
can be performed with a small incision technique.  Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Daniel Barrett, MD · Answer

Dear 5050VL,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. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Nelson Castillo, MD · Answer

Thank you for sharing your questions and photographs.  For most women undergoing a submuscular augmentation the size of their cleavage is determined by the width of their breast bone.  This can not be further narrowed due to the risk of synmastia.  Based only on your pictures I do not think your cleavage will be wide, and when in clothing like your bikini pictures it should improve even further.  Hope this helps.

Ram Kalus, MD, FACS · Answer

Thanks for your inquiry and photos. It appears that your natural breasts are close enough together to make your wish pictures become a reality. You will need a properly selected Implant which will most likely be a moderate classic or moderate plus profile. Please select an experienced board eligible or board certified plastic surgeon whose aesthetics appeal to you based on their before and after gallery. Best of luck to you.

Steven Varkony, MD · Answer

Many factors can affect the cleavage, including the shape of
your chest wall, the pectoralis major muscle and pre-op position, and the
nipple areola complex. A consultation with your plastic surgeon will allow you
to discuss all your questions and concerns regarding the final result.

Milind K. Ambe, MD · Answer

Thank you for your question and photos.  The pocket construction comes close to the sternum but stops shy of the bone. You might not have the exact cleavage as these photos, but if the pocket is made correctly and the right implant is selected for you there should not be a "wide" gap or cleavage.  Seek in person consultations with board certified plastic surgeons in your area that perform a lot of breast augmentation surgeries.  Best of luck to you

Steven Wallach, MD · Answer

It looks like you have some cleavage, and it will likely improve with implants. The extent of dissection especially if placed under the muscle is usually to the medial muscle attachments on the sternum.

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