Can I achieve defined cleavage with over the muscle implants? (photos)

Hello, thank you for your question. Usually above the muscle you can create a bit more cleavage but of course Plastic surgeons are limited by the midline and avoid at all cost symmastia. Speak to you plastic surgeon about your wish pic to get better expectations of your own outcome.

Implants over the muscle devascularize the breasts to a certain degree. Also, a breast lift will devascularize in addition. A combination of the two may results in complications. You would be better off with a breast lift and implants behind the muscle. Certainly, implants in front of the muscle provide more definition but there is an alternative technique that I recommend called a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Cleavage depends on several factors, including the natural location of your breasts on your chest wall, the natural width of your breasts, how wide your breastbone is, and where the muscle attaches to the breastbone.

Surgeons have some control over the pocket they create but it is unwise to separate the muscle from the breastbone too much or over-develop the pocket. Surgeons can also use implants that are a bit wider then your natural breast to aid in getting cleavage.

Every patient is different, so look for a surgeon that discusses all these factors with you