Went for two consults- both doctors have photos that I love and ones that I hate. I want very natural looking breast’s that don’t spread apart but I was told with my measurements there’s no real way to prevent it. I am thinking of going with 375cc moderate under muscle cohesive gel. I have broad shoulders and narrow hips so I really want centred, natural Cleavage. I’ll be really disappointed if I get that far apart look. Any suggestions to get the look I want?
August 9, 2019
Answer: Cleavage Implants, of any size, will not create cleavage in the sense that they cannot medialize wide or lateral set breasts. The implants will be centered on your native breast mound which may seemingly worsen the wide set nature of the breasts without actually changing the measurements. It is often helpful to think of breast augmentation as a magnifying glass or IMAX screen where all aspects of the breast are enlarged (+) and (-). One option for creating a more central or medial mound is subglandular augmentation. In this scenario, the medial boundary as defined by the pectoralis muscle attachments to the sternum are not present. This can allow for greater medial dissection and by association greater cleavage (not recommended). However, this does increase the risk of symmastia. There is also the risk of deformity which stems from failure to center the implant on the native breast mound. Ultimately, cleavage is essentially a function of the anatomic starting point. If you have wide set breasts, implants are only likely to accentuate this deficit. However, patients with closely spaced breasts will accentuate their cleavage via augmentation. Trying to force the mound centrally in too aggressive a fashion (via capsulorraphy) can lead to a mismatch between implant and native breast. They must be centered on each other in order to obtain a good result. As always, discuss your concerns with a board certified plastic surgeon (ABPS). Donovan Rosas MD Board Certified by the American Board of Plastic Surgery Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons Real Top 100 RealSelf Hall of Fame
Helpful
August 9, 2019
Answer: Cleavage Implants, of any size, will not create cleavage in the sense that they cannot medialize wide or lateral set breasts. The implants will be centered on your native breast mound which may seemingly worsen the wide set nature of the breasts without actually changing the measurements. It is often helpful to think of breast augmentation as a magnifying glass or IMAX screen where all aspects of the breast are enlarged (+) and (-). One option for creating a more central or medial mound is subglandular augmentation. In this scenario, the medial boundary as defined by the pectoralis muscle attachments to the sternum are not present. This can allow for greater medial dissection and by association greater cleavage (not recommended). However, this does increase the risk of symmastia. There is also the risk of deformity which stems from failure to center the implant on the native breast mound. Ultimately, cleavage is essentially a function of the anatomic starting point. If you have wide set breasts, implants are only likely to accentuate this deficit. However, patients with closely spaced breasts will accentuate their cleavage via augmentation. Trying to force the mound centrally in too aggressive a fashion (via capsulorraphy) can lead to a mismatch between implant and native breast. They must be centered on each other in order to obtain a good result. As always, discuss your concerns with a board certified plastic surgeon (ABPS). Donovan Rosas MD Board Certified by the American Board of Plastic Surgery Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons Real Top 100 RealSelf Hall of Fame
Helpful
August 9, 2019
Answer: Cleavage after augmentation From evaluation of your photos alone, it would appear that you should be able to achieve an excellant, natural result with augmentation. The amount of cleavage that one can achieve is determined by the natural shape of the breast and how close to the middle the breast begins. Implants can be placed extremely close together when placed over the muscle. However , in my opinion, the problems that can arise from this ,particularly in thin women with little breast tissue ,preclude placement of the implants here. Augmentation enhances the breast, but does not completely change the breast that you have.
Helpful
August 9, 2019
Answer: Cleavage after augmentation From evaluation of your photos alone, it would appear that you should be able to achieve an excellant, natural result with augmentation. The amount of cleavage that one can achieve is determined by the natural shape of the breast and how close to the middle the breast begins. Implants can be placed extremely close together when placed over the muscle. However , in my opinion, the problems that can arise from this ,particularly in thin women with little breast tissue ,preclude placement of the implants here. Augmentation enhances the breast, but does not completely change the breast that you have.
Helpful