What determines the extent of the cleavage with breast augmentation?
Breast cleavage is considered one of the most visible and attractive esthetic features of breasts. Reviewing many before and after pictures of breast augmentation from plastic surgeons throughout Beverly Hills, Los Angeles, and Southern California, it always amazes me to see the lack of a strong cleavage in these pictures. Why is that? Insertion of a breast implant via the periareolar or inframammary approach ensures precise placement and strong, beautiful cleavage, which usually cannot be achieved via the axillary or transumbilical approach. The second most important factor is the size of the implant; larger implants are wider and result in stronger cleavage. Choosing an optimal implant size is a very crucial decision, which involves close-decision making between you and your plastic surgeon. Finally, the basic shape of your breasts, chest, and possible existence of chest wall deformities or concavities can affect the extent of cleavage.