Will My Implants Ever Give Me Cleavage?

Question

I am 7mo. Post-op. I went from a 34B to a 30G/H. 650CC High Profile texured "gummy bears". My breasts are obviously large but they dont press together, and I have yet to find a bra that actually pushed them together to give me the long cleavage that I was going for. In face, they are separated into an A-line type formation. They are not sagging...but they're not together...Will cleavage happen with time?

Peter J. Capizzi, MD · Answer

You are certainly past a point in your post-operative recovery where you will see any significant changes in your breast shape or size.  Here at Stillwater Plastic Surgery we inform our patients that the breast implant is centered directly underneath the patients areola.  If your implants were placed differently your nipples would not point straight forward and look unusual.  The cleavage you are looking for may not be possible given your anatomy.

Richard H. Tholen, MD, FACS · Answer

Thanks for your question. At 7 months, you are at exactly the "average" time for complete healing, centered exactly under the bell-shaped curve that will have fewer women healing faster and an equal smaller number healing slower. By 12 months the vast majority of women will be completely healed, even the "straggler" slow healers.Since you have textured implants designed to adhere to tissues, they are unlikely to move, soften, or settle down OR inwards to any significant degree, even with additional passage of time. I hope your breasts are soft, because firm breasts cannot be shaped as well by a good push-up (or push-in) brassiere.As others have stated, closer pocket dissection medially would perhaps give closer cleavage, but at increased risk of symmastia ("uni-boob") which is far worse in appearance than slightly wider cleavage. Unless your are really tall or with a wide chest/breast diameter, the implants you have should allow you to create the shape you desire with good bra selection. Obviously, this is impossible to state decisively without examination in-person or at least with photos.If you really want a different "look," you will need to have additional consultations to see if what you seek is even in the realm of anatomically possible, or if it is inadvisable. Please seek ABPS-certified plastic surgeons with extensive breast surgery experience. Sometimes "better" is the enemy of "good enough." Best wishes! Dr. Tholen

Scott C. Sattler, MD, FACS · Answer

Assuming your implants were placed in the submuscular position - we cannot create breast-on-breast cleavage unless a patient has a very short intra-mammary distance pre-op. The insertion and modification  of the pectoralis muscle determines where the implant rests on your chest. Agressive division of the pectoralis in this region can cause significant problems with synmastia.

Jed H. Horowitz, MD, FACS · Answer

Breast augmentation and breast cleavageThe numbers you presented are a little confusing and photos would helpthe short answer is that with appropriate surgery and implants , cleavage can usually be improved.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

It sounds like that you have implants that are too heavy and that you have them, migrating towards your armpit. Picture would be very helpful before and after. If my description is correct then I would recommend that you have a revision to downsize your implants and make the pocket smaller.

Heather J. Furnas, MD · Answer

The patients who have cleavage to begin with are the ones who have  cleavage after surgery. Breast implants must be placed in two separate pockets on either side of the breast bone. If the plastic surgeon were to try to create cleavage by creating pockets that are right next to each other with a dividing wall as thin as a cheap apartment, instead of noisy neighbors, the problem would be synmastia, which looks like a tight sweater bridging across the breasts. The trouble is, that bridge would be skin, and it would look exactly the opposite of cleavage.A breast augmentation can create greater volume, but it can't create cleavage in someone who didn't start out with any.

Hisham Seify, MD, PhD, FACS · Answer

cleavage is controlled by many factors: muscle attachment, sternal width, type of pocket created , type of implant etc...It will help to see a picture. Lateral dissection or migration of an implant will create less cleavage. In certain cases , lateral suturing of the pocket could help.

Gregory Park, MD - Account Suspended · Answer

Breast augmentations using textured Gummy Bear anatomic implants provide a great result. When textured anatomic implants are used for breast augmentations, a precise pocket is made at the time of surgery so that the implant stays centered under the nipple and areola. However, these implants tend to be less mobile than smooth round implants because the textured surface "fuses" to the surrounding tissue. Over time, your breast tissue may continue to stretch and better cleavage may develop. How much time is really patient dependent. Thank you for sharing your question. Best wishes.

Will My Implants Ever Give Me Cleavage?

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