When it comes to breast augmentation, one of the most common desires among patients is not necessarily size, but rather cleavage. Patients and plastic surgeons frequently spend the majority of a consultation discussing volume, cup size, implant types and sizes, etc. Nevertheless, cleavage (the space between your breasts) is a very important aesthetic indicator of a beautiful breast augmentation.

If you are still in the consultation phase, here are some important considerations and questions to ask your plastic surgeon regarding cleavage after breast augmentation.

If you have already undergone breast surgery but are unhappy with your cleavage, there is good news: significant advances have given patients more options to enhance cleavage.

How is cleavage created by a plastic surgeon?
During your consultation for breast augmentation, it is crucial to assess the distance between your breasts, the elasticity or laxity of your skin, and the amount of breast tissue you have. Depending on your measurements and overall breast tissue, the breast implant pocket may need to be adjusted to bring your breasts closer together or further apart.

Your breast implant choice – saline/silicone, implant width, and implant profile – may also determine how your surgery is performed to achieve the desired amount of space and separation between your breasts.

Also, your breast cleavage will vary depending on the type of bra and clothing you are wearing. A more natural appearance with the option to wear a cleavage-inducing bra will likely provide you with the most long-term options after breast augmentation.

How can plastic surgery help you achieve the desired cleavage?
There is no scientific average cleavage or distance between breasts, so it is typically determined by your chest and torso measurements, proportions, and personal preference.

If you feel that your breast cleavage is too wide, breast augmentation can accommodate your desire for closer breasts.

If your breasts are close together in the middle, a different surgical technique may be required to achieve a little more separation after breast augmentation.

How do I achieve cleavage following breast augmentation?
If you’ve had breast augmentation and feel that your breasts are still too far apart in the middle, you have options including fat grafting and breast implant pocket repositioning surgery.

If your breasts are too close together and your cleavage is too small after breast augmentation, then repositioning your breast implant pockets will typically resolve this problem. In some instances, surgical tissue products may be necessary to maintain the separation between your right and left breasts and preserve the desired cleavage.

How do I get started?
Examine the areas between the right and left breasts when searching for a board-certified plastic surgeon and examining before-and-after photos. Initial attention may be drawn to the general shape, volume, and other aspects of breast augmentation photographs.

It is essential to emphasize cleavage and ensure that the photographs show little or no support – no bras or bikini tops – because this is how artificial cleavage is created. With breast augmentation, you want to achieve a natural cleavage through your choice of breast implants, surgical technique, and final result.