Why is my cleavage so ugly? (Photo)

Question

It’s been 6 months since my lift and implants and I had a lot of pulling and tenting in between my chest because of the implant size the doctor chose. I am so depressed about the lack of cleavage definition with no bra and this ugly tenting in between. When I wear a bra my implants almost touch. What is the solution here?? He did a 330 cc high profile on top of my natural large breasts. Someone please give me advice. I paid way more than any other surgeon asked for. He keeps telling me it’s good

Gerald Minniti, MD, FACS · Answer

Hello, Your implants are high profile, and were too large for your anatomic capacity. Further, these implants have a nasty tendency to drop quickly, leading to loss of upper pole fullness with an unnatural transition. Your scars are thick and could be made better. If you are will to sacrifice some size, you would do well with highly cohesive, shaped and textured implants and a scar revision. Best of luck!

John Michael Thomassen, MD · Answer

The scars are a bit hypertrophic possibly from tension at the time of the surgery.  Now that time has passed, it may be possible to revise them for a finer line scar result.  Also, fat grafting along the border of the implants may soften the borders and give you a more natural transition from your chest wall to your breasts in your cleavage area.  Revising the implant size is another option but a costly alternative.

Daniel Barrett, MD · Answer

Dear citygirl6982,Implant profile is a very important consideration. Many patients wrongly assume that the higher the profile the better. The truth is, the more profile (or projection/height) and implant has, the narrower its base has to become. This has several problematic consequences. The first is that the patient loses width and therefor cleavage of the breast. The second is the breast becomes more narrow and pendulous, often falling lateral and onto the side of the chest, and third, high profile implants have a higher risk of bottoming out because they exert more pressure on the inframammary fold than moderate profile implants. High profile implants do have a role in symmastia repair (when I need to narrow the basewidth) but otherwise I try to avoid them.I understand your concern. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after thorough examination you can get proper recommendations and advice.Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Curtis Wong, MD · Answer

due to the pocket allowing your implant to lay more lateral than medial, and possibly the implant style... and your surgeon's insistence that its all good shows a disconnect with reality because the patient's perception is more important than what your surgeon thinks.  Perhaps your pre-op consultation and evaluation were not in sync with what you wanted, or your surgeon has preconceived ideas of what good is (and it doesn't match yours).  Bottom line, your implants did not produce what you wanted and your surgeon should be working with you to help you achieve your goals.  Sometimes that is not possible and a second opinion will confirm that.  But remember, revisions also do not guarantee outcomes so you must be absolutely certain that you are wanting to pursuit better at the risk of having something worse.  BTW, cleavage is not ugly... just wider than ideal.

Why is my cleavage so ugly? (Photo)

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