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?
Answer: Gap Between Breasts Good afternoon,. Thank you for your question and photos. There are a few ways you can enhance cleavage through a breast augmentation. You can by adding on fat grafting to the cleavage area, selecting an implant with a wider diameter so they are a little bit closer together, and you can also pick an implant with a fuller projection (which will deepen the cleavage). It is important that you discuss this with a board certified plastic surgeon. Best of luck!
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Answer: Gap Between Breasts Good afternoon,. Thank you for your question and photos. There are a few ways you can enhance cleavage through a breast augmentation. You can by adding on fat grafting to the cleavage area, selecting an implant with a wider diameter so they are a little bit closer together, and you can also pick an implant with a fuller projection (which will deepen the cleavage). It is important that you discuss this with a board certified plastic surgeon. Best of luck!
Helpful 2 people found this helpful
Answer: Don’t want large gap between boobs-any ways to minimize it? Thank you for the question and pictures. Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery (assuming a well executed breast augmentation procedure). You are correct in that it will be important to achieve a sense of realistic expectations as you make your decisions whether or not to proceed with augmentation surgery. Some general thoughts may be helpful to you. Much of the final look and feel achieved after breast augmentation surgery depends on several factors: 1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal. Generally speaking, the patient's specific anatomy ( for example, relatively wide space between the breasts) may limit how close the medial breast folds ( cleavage) will be after breast augmentation surgery. Also, a patient's nipple/areola complex position must also be taken into account; keep in mind that the breast implants must be centered appropriately under each nipple/areola complex. Otherwise, the nipple/areola complexes will seem off-center on each breast mound. 2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing long-term well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone) or model (low/moderate/high profile) of implant. 3. The type of implant used may determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. In other words, if a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result. I find that I use round smooth silicone gel breast implants for the vast majority of patients who seek breast augmentation surgery. 4. The size and model of breast implant used may make a significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C or D cup” etc may mean different things to different people. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. To summarize: select your plastic surgeon carefully. Communicate your goals carefully as well. Chances are you will be very pleased with the outcome of breast augmentation surgery (assuming realistic expectations and a skillfully executed procedure). I hope this helps. Best wishes.
Helpful
Answer: Don’t want large gap between boobs-any ways to minimize it? Thank you for the question and pictures. Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery (assuming a well executed breast augmentation procedure). You are correct in that it will be important to achieve a sense of realistic expectations as you make your decisions whether or not to proceed with augmentation surgery. Some general thoughts may be helpful to you. Much of the final look and feel achieved after breast augmentation surgery depends on several factors: 1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal. Generally speaking, the patient's specific anatomy ( for example, relatively wide space between the breasts) may limit how close the medial breast folds ( cleavage) will be after breast augmentation surgery. Also, a patient's nipple/areola complex position must also be taken into account; keep in mind that the breast implants must be centered appropriately under each nipple/areola complex. Otherwise, the nipple/areola complexes will seem off-center on each breast mound. 2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle dissection of the breast implant pockets are critical in producing long-term well-placed breast implants. I personally think that these 2 factors are more important than any others, including type (saline or silicone) or model (low/moderate/high profile) of implant. 3. The type of implant used may determine the final outcome, especially if the patient does not have significant covering breast or adipose tissue. For example, some surgeons feel that silicone implants have a more natural look and feel than saline implants because silicone gel has a texture that is similar to breast tissue. In other words, if a patient has very low body fat and/or very little breast tissue, the silicone gel implants may provide a more "natural" result. I find that I use round smooth silicone gel breast implants for the vast majority of patients who seek breast augmentation surgery. 4. The size and model of breast implant used may make a significant difference in the final outcome. Therefore, it is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C or D cup” etc may mean different things to different people. Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. To summarize: select your plastic surgeon carefully. Communicate your goals carefully as well. Chances are you will be very pleased with the outcome of breast augmentation surgery (assuming realistic expectations and a skillfully executed procedure). I hope this helps. Best wishes.
Helpful
August 14, 2019
Answer: Breast Augmentation Cleavage vs. Gap Hello and thank you for your question! Breast augmentation does not change the breasts you have, but rather enhances them. Think of an implant as expanding the size of your breast around your nipple. If you have wide-set nipples, the implants will increase volume around your nipples, but may not be close enough to create cleavage. I would recommend seeing a Board Certified Plastic Surgeon for a physical examination in order to determine if implants would create cleavage or exaggerate an existing gap. Best of luck!
Helpful
August 14, 2019
Answer: Breast Augmentation Cleavage vs. Gap Hello and thank you for your question! Breast augmentation does not change the breasts you have, but rather enhances them. Think of an implant as expanding the size of your breast around your nipple. If you have wide-set nipples, the implants will increase volume around your nipples, but may not be close enough to create cleavage. I would recommend seeing a Board Certified Plastic Surgeon for a physical examination in order to determine if implants would create cleavage or exaggerate an existing gap. Best of luck!
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 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