Can I ever get good cleavage?

Karebear · 06-19-2009, 03:48 PM

Dr Revis,
I hope you can help since my PS left me even more confused...
I had a BL/breast augmentation in 2007 with 510cc mod saline unders. They were way too big 34E/F, I never had cleavage and after they dropped, I had nothing in my upper pole either. Apparently my skin stretched with the weight of the implants as well. Had a redo Feb 2008 with a re-lift and 390cc mod saline unders. I am much happier with the size. They look smaller from the front (I think because they are out to the sides), but they are DD's. I am unhappy with the shape, the lack of cleavage and upper pole fullness. I know my natural breasts grew outwards too and that has a lot to do with it, but does that mean I will never have what I am looking for? I would like a rounder breast with a full upper pole and decent cleavage. I just talked to my PS about a revision, wondering if he could tack my muscles on the outside (as my breasts fall into my armpits when I lie down). He doesn't think that is the problem and wants to relift (again!) and swap my 390's for 450's. How will this help when I had 510's and still no cleavage? And how is it that I would need a 3rd lift in less than 2 years? Did he not lift enough to begin with? Or is it really my body? He also suggested going over the muscle to get them closer. I don't know that I am comfortable with that either. If it helps I am 5'5" with a 31.5" ribcage. My pre-breast augmentation breasts were deflated C's. I have included pics of pre, post 1st time and now. Sorry so lengthy, I appreciate your time and any insight you may be able to provide. Thank you so much!

drdonrevis · 06-24-2009, 07:28 PM

Good evening,

It does appear that your skin has stretched more than would have been expected, but the 510's bottoming out stretching the skin didn't help either. To give you a better look/shape/cleavage at this point I would perform an internal bra, keep your implants approximately the same size, and redo your lift so thatg the nipples remain in the correct relationship with the breast and implant.

Best wishes,
Don Revis, MD
www.InternalBra.com

Karebear · 07-03-2009, 04:45 AM

Dr. Revis,
I have just seen another PS who recommends closing the outside pockets and loosening my pec muscles at the top because they are pushing my implants outward. He said if he does another lift, my skin will stretch again. All of this sounds right to me. But then he recommended 350 HP's filled to 450. (I have 390 MP now). I'm worried this will be too narrow but he is promising the cleavage and upper pole fullness that I want. He is the most experienced PS in this area. Does this sound right to you? Thanks again!

drdonrevis · 07-08-2009, 08:32 AM

Good morning,

Of course your new PS has the benefit of being able to examine you, but I would probably go with a slight revision of your previous lift since you already have scars there as well as the internal bra and a moderate profile plus implant. On the other hand, if you ask 10 PS you will probably get 10 different opinions.

Best Wishes,
Don Revis, MD
www.SouthFloridaPlasticSurgery.com

06-19-2009, 03:48 PM	#1
Karebear Join Date: Jun 2009 Location: Jacksonville, Florida Posts: 129 Thanks: 28 Thanked 35 Times in 33 Posts	Can I ever get good cleavage? Dr Revis, I hope you can help since my PS left me even more confused... I had a BL/breast augmentation in 2007 with 510cc mod saline unders. They were way too big 34E/F, I never had cleavage and after they dropped, I had nothing in my upper pole either. Apparently my skin stretched with the weight of the implants as well. Had a redo Feb 2008 with a re-lift and 390cc mod saline unders. I am much happier with the size. They look smaller from the front (I think because they are out to the sides), but they are DD's. I am unhappy with the shape, the lack of cleavage and upper pole fullness. I know my natural breasts grew outwards too and that has a lot to do with it, but does that mean I will never have what I am looking for? I would like a rounder breast with a full upper pole and decent cleavage. I just talked to my PS about a revision, wondering if he could tack my muscles on the outside (as my breasts fall into my armpits when I lie down). He doesn't think that is the problem and wants to relift (again!) and swap my 390's for 450's. How will this help when I had 510's and still no cleavage? And how is it that I would need a 3rd lift in less than 2 years? Did he not lift enough to begin with? Or is it really my body? He also suggested going over the muscle to get them closer. I don't know that I am comfortable with that either. If it helps I am 5'5" with a 31.5" ribcage. My pre-breast augmentation breasts were deflated C's. I have included pics of pre, post 1st time and now. Sorry so lengthy, I appreciate your time and any insight you may be able to provide. Thank you so much!

06-24-2009, 07:28 PM	#2
drdonrevis Certified by the ABPS Join Date: Dec 2007 Location: fort lauderdale florida Posts: 411 Thanks: 0 Thanked 190 Times in 147 Posts	Redo BL/BA Good evening, It does appear that your skin has stretched more than would have been expected, but the 510's bottoming out stretching the skin didn't help either. To give you a better look/shape/cleavage at this point I would perform an internal bra, keep your implants approximately the same size, and redo your lift so thatg the nipples remain in the correct relationship with the breast and implant. Best wishes, Don Revis, MD www.InternalBra.com

07-08-2009, 08:32 AM	#4
drdonrevis Certified by the ABPS Join Date: Dec 2007 Location: fort lauderdale florida Posts: 411 Thanks: 0 Thanked 190 Times in 147 Posts	Revision Good morning, Of course your new PS has the benefit of being able to examine you, but I would probably go with a slight revision of your previous lift since you already have scars there as well as the internal bra and a moderate profile plus implant. On the other hand, if you ask 10 PS you will probably get 10 different opinions. Best Wishes, Don Revis, MD www.SouthFloridaPlasticSurgery.com

Thread Tools
Show Printable Version Email this Page
Display Modes
Linear Mode Switch to Hybrid Mode Switch to Threaded Mode

Similar Threads
Thread	Thread Starter	Forum	Replies	Last Post
Cleavage post-BA	JACQELINERT	Polls	36	01-03-2008 04:00 AM
Flat cleavage???	Sheena	General Breast Augmentation Discussion	8	02-16-2007 02:22 PM
Q about raised cleavage area	vanessa323	Breast Augmentation Surgery Post-Op & Recovery Forum	26	01-18-2007 12:53 PM
How to create cleavage?	Sassy Cat	General Breast Augmentation Discussion	11	01-03-2007 12:44 PM
cleavage	trish30	General Breast Augmentation Discussion	3	11-21-2006 01:56 AM

07-03-2009, 04:45 AM	#3
Karebear Join Date: Jun 2009 Location: Jacksonville, Florida Posts: 129 Thanks: 28 Thanked 35 Times in 33 Posts	Dr. Revis, I have just seen another PS who recommends closing the outside pockets and loosening my pec muscles at the top because they are pushing my implants outward. He said if he does another lift, my skin will stretch again. All of this sounds right to me. But then he recommended 350 HP's filled to 450. (I have 390 MP now). I'm worried this will be too narrow but he is promising the cleavage and upper pole fullness that I want. He is the most experienced PS in this area. Does this sound right to you? Thanks again!