13 day post-op, 360cc and 335cc under muscle implants. I have a large gap between my breasts. (Photos)

Question

Even when I try squeeze them together to get a cleavage I can't get one. Would this be the placement, size or what other reason could this be? Should I be wearing a band as I wasn't given one, how do I go about getting a cleavage? The photo attached is me squeezing my breast and still a visible gap.

Aldo Guerra, MD · Answer

Hello Sammy. The structure that's keeping your breast implants apart is the pectoral muscle on each side of the chest. This is normal and the muscle is pretty tight, especially in the early postoperative period. In time, it will loosen and your cleavage will likely get better and more natural looking. Wearing a breast band does tend to help, along with sleeping in a supportive bra and relaxing the muscle with medications and massage. I also ask patients not to do push-ups for a long while after surgery. Congratulations on beautiful early results! Be sure to discuss your concerns with your plastic surgeon. Warmest regards, Dr. Aldo

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question. In my practice, after performing a BA I recommend to my patients to limit the movement of the arms for two weeks. After that, you can move your arms taking care and always with common sense. In this regard, it's not advisable to carry heavy weights to prevent the implant out of position, and allow the formation of the physiological capsule around the implant, also to avoid pain and breast swelling. Kind regards

Andre Levesque, MD · Answer

Thank you for your question.

The gap that exists is normal and represents the tissue above your breast bone "sternum" where breast tissue does not naturally exist.  The pectoralis major muscle has origins to the sternum and will prevent a breast implant from moving closer to the midline in patients that have had partial subpectoral augmentation.  Given your picture I can say the gap is frequently wider.

If you desire more fullness in this region you could consider fat grafting.  Attempting to reposition implants by seperating the pectoralis origins further to the midline is a recipe for a symmastia or so called "unaboob" that is unnatural and difficult and expensive to correct.  With more time it is likely that you will have some relaxation and stretch of the tissues and you will likely be able to create the "cleavage" desired in a bra.

Best Dr. L

13 day post-op, 360cc and 335cc under muscle implants. I have a large gap between my breasts. (Photos)

Answers (3)

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Everything you need to know about Breast Augmentation

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13 day post-op, 360cc and 335cc under muscle implants. I have a large gap between my breasts. (Photos)

Answers (3)

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Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.