Q: How to Achieve Cleavage After Breast Feeding and Implants?

I’ve had Breast implants for two years now but I recently had a baby. I only breast fed for one month, so my breasts don’t need a lift. I’m just a little concerned that now they actually don’t look that full anymore. They are not sagging, just not as full as they used to be. And what really bothers me is the separation I have now which makes me look like I don’t have a cleavage, I want an opinion on what are my options to have a cleavage?

A. May be possible to move implants more towards the center of your chest.

Either due to initial placement or changes to capsule or the overlying skin, you may have implants that are placed too lateral on your chest. It may be possible to release and allow more fullness at cleavage.


Q: Pain Level For Breast Augmentation And Tummy Tuck?

Will a tummy tuck and breast augmentation be too much pain to handle?

A. Mostly well tolerated with appropriate pain management.

I would recommend using a pain pump, adequate ongoing and as-needed pain medications. May need assistance with getting in and out of bed for 3-5 days. If you have young children, you will not be able to hold them tight or pick them up for at least 2-4 weeks.


Q: What Are the Largest Breast Implants I Should Consider?

I am looking into having a breast augmentation within the next 3 months, but the only potential surgeon I’ve met with so far told me that he would not do the breast augmentation unless I would consider a smaller breast implant size. I was completely shocked by this. My breasts have been extremely small my entire life (AA cups) — I have always had to wear a “training bra” and was teased about this a lot growing up. I want to get DD or larger breast implants. Lots of women get breast implants WAY bigger than DD, so why am I being told my request is unreasonable? How do breast augmentation surgeons decide how big is too big for different people?

A. There are important anatomic considerations for breast implant size

The size of your chest wall, (the dimensions of the boney chest) serves as a starting point to determine what implants may be tolerated. Next, one has to have enough native breast skin that can be stretched to accommodate the implant. If someone has very small breast with minimal skin laxity, it will limit what size implant can be placed under the skin. Other factors such as the amount of existing breast tissue and nipple position also need to be considered.

In general, an inappropriately large sized implant can create a lot of problems for you and your surgeon has the responsibility to inform you properly.