The Elusive Search for Cleavage and How Breast Implants Play a Role, or Not

by Terrye Tebbetts

Question ~

My boobs are set wide natrually. I know that implants wont change that, but I wonder if overs or unders are better at all for cleavage…..even just a little? Any advice will help!! :)

Answer ~

The pocket location, or “overs” vs “unders”, is all about soft tissue coverage in the upper portion of the breast. By the High Five System, if you have less than 2 cm of soft tissue coverage in the upper pole, then you need to put the implant under more of you to avoid seeing implant edges and any wrinkling or folding of the implant.  There is also a school of thought that says mammograms will be easier if the implant is partial sub pec.  There are different ways to place the implant under more coverage – traditional PRP, sub facial and Dual Plane are the most common.

If you need more coverage – you need it – but for the reasons I mentioned, not because you hope it might create cleavage or support an implant long term or any of the other mythical things associated with pocket location.

The distance between your breasts, the intermammary distance, is a very sacred place of skin over sternum – - when toyed with, either by over dissection or by an implant that is too large and too wide for the breast, a condition called symmastia – or Uni-Boob, is created and it is VERY difficult to fix.

Breast implants do not create cleavage – they were never meant to create cleavage and when used to do so, they can create problems!  Bras create cleavage.  So if you are wide set now, then that distance will always be the same, but when the breast is full with implant, then at least you will have something to push up into that space.

I hope this helps shed some light on an often misunderstood concept of breast implants!  The bottom line is, everything gets better when the breast is full and firm, even if the space between them cannot be changed!

To read more about implant size and placement, please visit our breast implants dallas blog.

About the Author: Terrye Tebbetts is one of the most knowledgeable women in the world about breast implants, with 27 years of experience educating patients and 11 years as a patient herself. For more information about breast implants or breast augmentation Dallas surgeons, please visit www.thebestbreast.com.

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