Should I Have Went Under the Muscle? How Do I Get Better Cleavage?

Question

I am 5'8 and got 450cc silicone placed over the muscle. I am very skinny on top with very little breast tissue. My goal was to feel proportionate, especially since I workout a lot, but I am second guessing if I should have went under the muscle bc you can see my rib cage and I don't like my cleavage. It's so hard to push my breasts together, and when they are, you can see the rippling like in the photo. Is this normal for my body? Or should I have went under the muscle, or larger implant?

Kurtis Martin, MD · Answer

I would recommend new lower profile implants silicone placed under the muscle. This should get you more cleavage. Your breast cleavage pre op appears to be 2-3 cm which is not bad.

Edwin C. Pound, III, MD · Answer

Based on your pre-op picture, I would have certainly recommended placing your implants under your chest muscle in order to give you better coverage over your implants.  This would have minimized the potential for ripples/wrinkles which could be seen or felt but also minimized the risk for developing capsular contractures, the constriction and distortion of the breasts which you seem to have developed.  You had a wide chest bone before surgery and this is what determines your cleavage.  Implants will give you volume but push-up/push-in type bras will give you cleavage.  Surgical attempts to give you cleavage may end with a bad result.  My suggestion for you would be to remove the capsules that have formed around your implants and re-position your implants into the submuscular (under the chest muscle) position.

Curtis Wong, MD · Answer

but if you are developing a contracture, you should see your doctor about what options you have.  Cleavage in and of itself is not determined by whether your implant is above or below the muscle but more on how your pocket is created.  Your inferior medial pockets seem a little flattened and its speculation as to whether that is from capsular contracture or your pocket dissection.  Regardless, if you wish to fight the contractures, you will have to consider more surgery and you should know all of your options, including new implants, textured anatomic implants, and new pocket dissection.  Your nipples are always going to be pointing outwards as that is what you started with and your implants are only aggravating that.

Jeffrey Zwiren, MD · Answer

When the implants are placed under the muscle the closest you can get the implant to the midline is the edge of your breast bone.  If you have a wide breast bone or sternum or breast bone it will not be possible to achieve as much cleavage as an individual with a narrower breast bone.  You may actually have a mild to moderate capsular contracture and this is preventing you from being able to push the implants toward the middle.  You may be a candidate for a revision and submuscular placement of the implant.

Pouria Moradi, MBBS, FRACS · Answer

It sounds like you have answered your own question about whether you should have gone under the muscle.

	But don't despair, have a chat with your plastic surgeon and see what he/she recommends to do now.

	Going bigger would have made the rippling worse over time as it would only thin out the upper pole breast tissue.

Should I Have Went Under the Muscle? How Do I Get Better Cleavage?

Answers (8)

Answer: Expectations for improved cleavage not met

Answer: Expectations for improved cleavage not met

Answer: Under muscle

Answer: Under muscle

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.

Should I Have Went Under the Muscle? How Do I Get Better Cleavage?

Answers (8)

Answer: Expectations for improved cleavage not met

Answer: Expectations for improved cleavage not met

Answer: Under muscle

Answer: Under muscle

Browse related questions

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.