BREAST AUGMENTATION

Thank you for sharing your question. Based on your description, difficulty creating cleavage does not necessarily indicate symmastia. Breast size, natural breast spacing, and chest wall anatomy all play a role in cleavage appearance. Liposuction may be considered if there is excess fatty tissue in the central chest area, but it would not be beneficial if the appearance is due to your natural anatomy. An in-person examination would help determine the most appropriate approach. I would...

Muscle spasms are common after submuscular/dual plane augmentation. They will typically resolve in the early perioperative period and are easily managed with prescription muscle relaxants. It is encouraging that you appear to be improving. Momentum is often important in these sorts of issues. However, the persistence given your history of issues on the left warrants at the very least clinical surveillance. As always, discuss your concerns with a board certified plastic surgeon (ABPS).

You failed to mention the which projection Boost implant your surgeon was suggesting. If you have very soft breasts now the implants don't necessarily need to be moved above the muscle. The implant positioning and size just need to be adjusted. If the animation deformity is your reason for moving the implant above the muscle, then your surgeon figures out the appropriate size by deterring the height and width of your chest and the determine which projection of Boost implant you want based on...