Will my 2 Inch Cleavage Improve? (photo)

Im 1 day post op. doing well for now. I had 425 cc HP silicone unders preaerola. My only concern is before the surgery my dr told me i will have only 1 inch gap between breasts. But theres 2 inch gap maybe even more than that. Will the cleavage improve over time? I want them to be close together as Miss Prestin's. but my breasts looks too far apart and i feel like they are not big enough. Any idea what i am gonna end up looking like? Im 99lbs 5'3"

Doctor Answers 11

A Note From Miss Prestin's Surgeon

Post-operative cleavage will always be determined by the natural distance that exists between the inner edges of a woman's breasts and the distance between her nipples. When performing breast augmentation, although the implants can be cheated closer together a small amount, they still must be centered more or less beneath the nipples. Placing them elsewhere will lead to an unnatural appearance. This means that patients will have cleavage similar to their natural state even after their augmentation results become visible. As the surgeon who performed Miss Prestin's surgery, I know this to be true for her as well.

Will my 2 Inch Cleavage Improve?

On the preop photos you can see that your breasts are naturally rather farther apart than they are on some other women. Accompanying that is the fact the the pectoral muscles will also be farther apart than average. This will keep the implants from being as close to the midline as you or your surgeon might have liked. 

Your implant are high riding, and that should improve over the next three months. But in terms of horizontal position, they seem correctly centered behind the nipples and areolas. Any attempt to have the implants more to the center would risk symmastia (uniboob) and would leave the nipples and areolas on the sides of the breast instead of at the center. 

In terms of size, these already look about as big as your breast tissue will tolerate. With time as the breast skin stretches, it might be possible to use larger implants, but you are risking damage to the breast tissue, and early need for breast lifting. 

Patience. See how everything looks in 3 months. All the best. 

Will my 2 Inch Cleavage Improve?

It appears you are doing very well for 1 day after surgery.  You must wait several weeks and even a few months for the final shape of your breasts.  Based on your preoperative photograph, I am not sure you will achieve cleavage that you show in the desired photograph, but I do believe that you will be happy with your results.

Garrett A. Wirth, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 10 reviews

1 day postop - be patient, you look like you will end up with a great results

you are only one day after surgery, and it's way to early to see the final results.  However, based on your pictures you look great for 1 day after and as your tissue soften and breast implants settle in, you will end up with a great result. 

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 427 reviews

Breast cleavage

It is too early to tell.

Having said that I doubt you will move the implants anymore medially as the implants are sitting exactly underneath your natural breast platform. Which are 2inches apart not 1inch as you can tell by your surgeon's pre-op markings.



Breast augmentation - reality vs. air-brushing.

Many patients bring photos and unrealistic expectations to the plastic surgeons office. A common theme is bringing an air-brushed photo of a model with over-sized implants and expecting the same results. The reality is that your breast anatomy limits what a breast augmentation can do. An implant placed beneath the muscle cannot move anymore centrally than where the muscle inserts on the breastbone. If one releases the muscle centrally, a deformity known as synmastia can occur where the implants can cross the midline and can actually touch. Cleavage is achieved with a bra, not with surgery.

An appropriately sized implant, chosen to augment the natural anatomy of a woman's breast (not replace the anatomy) leads to the highest augmentation satisfaction. Choosing implants that are too large for the breast will often lead to thinning of the breast tissue, rippling, and implant malposition. The most common complaint I hear from women who have had implants for many years is that they wish they had chosen smaller implants.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 19 reviews

Cleavage not enough

Be careful; what you wish for.when trying to create medial cleavage you ahve to be careful not to go too close together and create symastia or what we call the uni boob.That is really tough to correct.I think your impalnts are a good size and I would wait and give it soem time.

Robert Brueck, MD
Fort Myers Plastic Surgeon
4.8 out of 5 stars 56 reviews

Cleavage after breast aug

First you are very early in the healing process, so pl give it more time. Second, your cleavage is determined by you pec muscle attachment to your breast bone. Implants can not be closer together than that attachment. Trying to create cleavage will be a surgical disaster. You will likely have some cleave but give your skin some time to stretch. 

Will my 2 Inch Cleavage Improve?

You had slightly wide set breasts to begin with. So the result will be very good but as for a closer cleavage I doubt. 

Degree of cleavage is related many factors

The degree of cleavage from a breast augmentation is a function of many anatomic factors

  1. The existing width of the sternum
  2. The position of the origin of the pectoralis muscle
  3. The thickness of the pectoralis muscle
  4. The flair of the rib cage as it angles away from the sternum
  5. Existing breast tissue 

Your breasts may get a little closer together as they muscle relaxes.  Give it another 3 months.  

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.