Why do some women get more breast cleavage with breast augmentation than others? There are many reasons, but one of them is a function of your chest wall type.

Some patients have a chest wall shape that is not really straight. Those patients either have a
concave, hollow chest, in which the chest slopes towards the middle, or they may have an
outward curved chest wall, or bird like chest, in which the middle part of the chest is the highest part like the women in the video still shown below.

These conditions are medically referred to as:

• Pectus excavatum- the concave breast, which is sunken in the middle
• Pectus carinatum- the bird like , or outward curved chest wall

Some of my patients have a mild degree of one of these chest forms.  They may not even realize it. To determine if your chest wall has a mild form of either of the two, stand to the side in front of a mirror. It is easy to see the pectus carinatum (outward curved), as you will see that your middle sternum bone is higher in the center.   For the concave breast, the pectus excavatum, you would see the opposite, a sunken area along the middle axis.

If you have pectus excavatum type of chest wall then you are lucky in regards to breast augmentation!  This type of breast wall will naturally give you a more defined cleavage with breast implants because the implants will migrate towards the center.Cleavage on these women will be more defined. Additionally, these women usually have the option of going with high profile or moderate profile implants .

Women with the pectus carinatum , however, do not enjoy the same freedom of implant selection. If you have a chest which is curved outward, the implants will have a tendancy to shift to the sides, away from your cleavage line.  Thus, your cleavage will always be softer, or not as close together. In these cases, I recommend choosing a high profile implant because it has more projection , and less diameter.  The high profile projection will give you the most cleavage possible . In terms of the shape, the smaller diameter  of a high profile implant will sit more upright on the chest wall and not go off to the side as much.

To learn more about the type of chest wall you have and how it affects your implants selection watch my video above. If you have any questions please post them to my blog.

Ricardo L Rodriguez, MD

http://www.cosmeticsurg.net