I have a wide and large sternum and this is hindering me from proceeding forward with my BA decision! (Photos)

Dear Miss32B,Thank you for your questions and sharing your photographs with us! You have correctly pointed that you have a wider sternum but this is still acceptable. In fact, you have adequate breast tissue which would mean that you can get a natural result with a size D. To achieve cleavage and the side boob would mean that you need to use an implant with a significantly wide base width. Simultaneous fat graft and implant augmentation can help you to achieve a natural appearance and feel. With the current advances in 3D imaging, we can use the system to calculate the ideal implant and also the amount of fat graft if required to achieve the desired look. This helps to take the guesswork out of planning and also enables the patient to visualise the after results. The volume and profile cannot be approximated accurately just by looking at the photographs. My advice is to seek an in-person consultation with a board-certified plastic surgeon with a 3D imaging system, such as the Crisalix system. I hope this answers your question. Have a great week ahead and all the best!Dr. Terence Goh
Plastic Surgeon, SingaporeMBBS (S'pore), MRCS (Edinburgh), MMed (S’pore)Fellow, Academy of Medicine, Singapore (Plastic Surgery)President, Singapore Association of Plastic Surgeons (SAPS)International Member, American Society of Plastic Surgeons (ASPS)

Thank you for your question.
It would be best to seek an in person assessment with a qualified plastic surgeon, but from your photos your sternum doesn’t seem to be excessively wide. You may have some degree of pectus excavatum, but it’s difficult to tell from the photos. I do agree with you that having a wide gap between your breasts is undesirable and a telltale sign of implant augmentation. It is possible to perform breast augmentation without leaving you with a large gap between your breasts.
The picture you showed of what you don’t want looks to be an early post op photo. The gap will be wide early on but can narrow if the surgeon planned to do that.
The profile of the implant will determine the breast shape but not your space between the breasts, that’s determined by surgical technique.
In terms of volume, you’d be looking at something in the 250 to 350 range, but it’s best to assess this in person. Virtual surgical simulations can help you decide on a size that you like.
Good luck!

Hello thereYour sternum is a little wider than some , but not severely so . Therefore I don't think it is likely to be a major problem .Methods to minimise the problem include using a wider implant base , going in front of the muscle [subfascial] and if it persists as a problem , fat grafting the inner aspect of the cleavage to create a wider breast .With respect to sizing , this is done by use of a sizer set and use of the Vectra 3D imaging system , which requires a a face to face consultation.But overall I don't think that your shape is likely to present a major problem and I think you can expect a good outcome .CheersTS