Appropriate implant width selection is critical in order to either camouflage a large gap or NOT highlight it even more. Narrow and highly projected implants will potentially expose an underlying large gap even more, almost making the situation worse. Implant Choice Affects the GapĪdditionally, breast implant selection plays a key role in maximizing breast aesthetics. Narrow Gap Before Surgeryįor patients who have extremely close breasts pre-op, I am very cautious when dissecting the medial/inferior pec attachments to ensure that the implants don’t sit too close to each other. A recent study showed that patients have high satisfaction with their breasts and cleavage after they’ve had implants combined with fat grafting. If patients have a wide gap pre-op, I also will discuss the option of fat grafting, where I inject the patient’s fat along the cleavage line as well as the upper poles to create the illusion that the implants are actually closer than they are. In these patients, I typically discuss subfascial breast augmentation, which will provide improved closeness of the breasts and implants because they will not be placed below muscles that are already too far apart. Many women have a large space between the two breasts, which makes the final cleavage line seem too wide and separated. The amount of dissection of the pectoralis muscle can be adjusted based on the desired ultimate positioning of the implant. The key is that the plastic surgeon recognizes the degree of gap prior to surgery so that an appropriate surgical plan can be made to maximize the overall breast aesthetics. Some have a very large distance between the breasts, and some have an extremely narrow gap. This space varies from patient to patient. This space is anatomical and is defined by your breastbone (sternum), the breasts, and the pectoralis major muscles. More likely than not, the gap between the two breasts (intermammary sulcus) was there prior to the breast augmentation surgery. Why Is There a Large Gap Between My Breasts After Breast Augmentation? No postoperative bra should be too tight because it can not only be uncomfortable as the breasts swell, but it can lead to skin ischemia (lack of oxygen) and blistering. We do not use any sort of compression garments following breast augmentation surgery as they are too tight and can potentially cause skin breakdown or blisters. Underwire bras may be worn 6 to 8 weeks after surgery, once the incisions have healed sufficiently. After that, patients are encouraged to wear any bra that is comfortable provided that it has no underwire. This cotton surgical bra is worn for approximately 3 to 4 weeks. It is comfortable, breathes well, and does not have any zippers or clips which can potentially harm the skin. Our patients typically wake up following their surgery wearing a soft cotton surgical support bra. Do I Need to Wear a Compression Garment After Breast Augmentation? As the swelling and inflammation diminish and as the implants settle in the pocket, the breasts take on a new and improved look, and they often look more natural and soft, almost larger than immediately following surgery. It is important not to judge your result too early because of the standard swelling, higher positioning, and skin tightness that most patients observe during the first few weeks following their breast augmentation surgery. Some people call this the “drop and fluff” phenomenon, as the breast implants drop into their final position at the bottom of the pocket and the soft tissues and skin assume their normal feel and appearance. As the swelling resolves over the first 6 to 8 weeks following surgery, the skin appears softer and more supple, allowing the complete shape of the implant to be seen. This tightness causes the breasts to look smaller and less natural. Immediately following a breast augmentation, the breasts and local soft tissues will be quite swollen, which will make the skin appear tight. Do Breast Implants Get Bigger As They Heal? He shares his insights on what to expect after breast augmentation, what it’s like to recover from breast implant surgery, and how breast implants settle after surgery. Sigalove shares his insights into commonly asked questions about breast augmentation. You asked, and board-certified plastic surgeon Dr.
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