Why do my implants look like two balls on my chest?

Question

Are my implants not wide enough? I got moderate 275 cc axillary incision I am not happy with this result. I was going for cleavage not two baseballs on top of my chest. In the pokadot dress photo I’m wearing a push bra with them and you cannot tell there’s any cleavage. Would getting a bigger implant fix this issue? Why did this happen?

Sean T. Lille, MD · Answer

Dear Genius,  Nude before and after photos would allow a better opinion. Your final result is dependent on multiple factors. If your breasts are wide apart, there is only so much you can do with the canvas you are presenting. The amount of breast tissue you start with, the position of your breasts, the type of implant, and the placement of the implant all play a part in your final result. Going with a larger implant would make it worse.  A moderate plus or classic profile silicone gel, under the properly released muscle, would give you a more natural result. If you have all those things, then this is the best it will be.  Best wishes to you!

Gary M. Horndeski, MD · Answer

If the implants are in front of the muscle, it often tends to look like more of a step off look that you do not like. Your implants may be high profile which the base is quite narrow. The implants need to be placed more medially and possibly large implants with a larger base.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Jeffrey Lisiecki, MD · Answer

Difficult to say based off of photographs alone.  In some patients, the chest muscles are far apart from each other and limit how close you can get the implants to each other--in these patients, switching to subfascial and/or fat grafting the medial breast can typically improve cleavage .  I would be curious about the base width of your breast versus the implant width as well, as sometimes this look can happen when the implant is too narrow for the breast.  You should see your surgeon or seek another opinion in person to evalulate and discuss your options.

Daniel Barrett, MD · Answer

Dear Genius188143,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

An in person evaluation and discussion of your goals is needed to help determine the best recommendation for you.  Cleavage is influenced by the width of the breast bone.  Axillary incisions are rare for me.  The incision in the inframammary fold allows me to visualize the pocket for optimal implant selection and placement.

Connie Hiers, MD, FACS · Answer

You need to submit a nude photo or a better response. However, I suspect you do not have much breast tissue to cover the implants, so their shape shows through. Going bigger might make that worse. Plus, your breasts appear to be somewhat far apart. The bases cannot be moved.

Hilton Becker, MD · Answer

It is difficult to tell from your photo what the exact issue is 
I would suspect that your implants are under the muscle and the attachment of the muscle is restricting the pocket

Why do my implants look like two balls on my chest?

Answers (7)

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