Cleavage Fat Transfer and bigger implants - advice? (photos)

Dear Beachlover1999,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Dear Beach lover,
A physical exam would do wonders in more accurately answering your questions. That being said, lack of cleavage is due to your chest anatomy with both a sharp curvature of your ribs which cause your implants to sit more laterally (combined with a wide sternum). If your breasts move closer with better cleavage when wearing a bra or pushing them, then your pocket is open. IF not, opening the medial pocket and possibly larger implants or a lower profile with wider base diameter may work.
Best wishes.
Dr. Taranow