Could my cleavage be more defined with a Breast Implant Revision? (photos)

Question

Hi, I had a breast augmentation revision just over 8 months ago as my implants were very far apart and too small. I went from a 350cc to 450cc and they are much closer now however I still find that my cleavage lacks definition and these nice “boob lines”. Is there anything that can be done to define my breasts more without going an even bigger implant size?

Daniel Barrett, MD · Answer

Dear Ravenevar,
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. 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

Donald R. Revis Jr, MD · Answer

Good evening,
I would recommend you switch to a High Profile or Mod High Xtra Profile with the same diameter, but this would involve more cc's.

Connie Hiers, MD, FACS · Answer

You did not show your before photos, but I suspect your breasts sit somewhat fat apart. Your bases cannot be moved. Fat grafting could be tried in the medial part to give more fullness.

Could my cleavage be more defined with a Breast Implant Revision? (photos)

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