Do Ultra-high Profile Implants Cause a Shelf Look?

Most women have a breastbone it's about four or 5 cm wide.I  tell pts with a wide breastbone that an implant with more projection may camouflage the wide sternum.If you chest is narrow you will look better with an implant whose diameter matches your chest dimensions

Hi Delta, Thank you for your question.  Overall all, what you were told makes sense to me.  A few things.  First I agree with previous comments that you should carefully consider having #1 such large implants and #2 having saline implants, especially in that size range and in ultra high projection.  In my opinion, this is going to potentially result in a lot of tissue distortion and can be very detrimental to the appearance of your breasts.  Regarding cleavage, if you press your breasts together, you will see where they fold near the center of your chest.  This is the natural space between your breasts, without the breasts pressed together this space can look wider than it actually is in some patients.  Narrowing the space between your breasts, to make it narrower than what it is naturally, puts the implant under very thin tissue, putting the implant on top of bone as your doctor described, and makes it very likely that you will the implant edge very prominently, especially with large saline implants.  It can also increase the risk of synmastia as your surgeon described.  This is not advisable.  In my office I usually work within the existing width of the breast.  Hope this helps.  Tracy M. Pfeifer, MD, MS