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A Blog on Implants and Cleavage by Dr. Loftus

Many women seek breast augmentation to get more cleavage. Cleavage is a confusing concept. There are a few concepts that are often dumped into the category of "cleavage" that are not the same thing. These concepts deserve separate consideration since plastic surgeons manipulate them in different ways.
  • Cleavage refers to the space between your breasts. If your breasts are close together, you have more cleavage. If your breasts are widely spaced you do not have much cleavage. This cannot be safely narrowed surgically, but your breast implant choice can affect its appearance.
  • Fullness in the upper portion of the breasts is distinct from breast spacing or cleavage. This can be improved through implants.
  • Breast projection refers to how far your breasts stick out from your chest. This is affected by your rib cage and your breast size. It can be improved with implants.


Your cleavage (breast spacing) is anatomically determined and should not be changed. The attachments of the pectoral muscles along the breast bone limit how close together breast implants (under the muscle) can be spaced. Releasing these attachments can lead to synmastia ("unibreast"), which is difficult to correct. If you have widely spaced breasts, using a moderate profiled implant can help maintain more volume towards the middle compared to high profile implants. This does not mean you should not have high profile breast implants if you have wide breast spacing—breast spacing is just one of the many factors that must be balanced when selecting your implant type.

Breast fullness

If you want fullness in the upper portion of your breasts, you need an implant that is wide enough to reach up there to provide volume. You cannot generalize here… Your individual measurements and natural breast volume distribution need to be considered to determine what implants will get the job done.

Breast projection

If you want your breasts to protrude more, you want more breast projection. All breast implants increase breast projection, but some do it more than others. High profile breast implants increase projection the most. Since high profile breast implants are narrower, they may not provide as much fullness as the same volume moderate profile implant.

Relax! You do not need to figure out what type of implants you need to get the right balance of cleavage, fullness and projection. Instead, having a better understanding of what these terms mean will help you communicate your goals to us so that we can figure out the hard parts for you. Call us to schedule your consultation when you are ready.

Dr. Loftus

About Dr. Loftus

Dr. Loftus is a female plastic surgeon who is considered a national authority on plastic surgery, having appeared on numerous talk shows as an expert. Her book has become a best-selling book on plastic surgery and has earned her the reputation as a vocal advocate of patient safety, satisfaction, and education in plastic surgery. No wonder her patients have such great things to say about her…
Dr. Loftus standing by staff
My results are amazing - Dr. Loftus is amazing!
My friends can't believe how natural I look!
I had no pain after surgery and recovery was so easy.
The entire experience was fabulous!
I am a nurse who has worked with many doctors, Dr. Loftus is the best!
The care was exceptional and results are incredible!
My results are better than I ever imagined!
Dr. Loftus is a rare surgeon: highly skilled, personable and compassionate!
My experience from start to finish was completely extraordinary!
Awesome results from a skilled and caring doctor.
I love love love Dr. Loftus and everyone in the office!
I've never felt so comfortable and understood in a doctor's office.
I felt so comfortable and barely had any pain at all.
I never knew I could look this good! Thank you Dr. Loftus!!!
Never met such a warm and caring staff anywhere else.
If only every doctor could be like Dr. Loftus, how very fortunate we would be.

Dr. Loftus
on The View

Dr. Loftus
on The Today Show

Dr. Loftus

Dr. Loftus
on Later Today

Dr. Loftus
on Later Today

Dr. Loftus
on CNN

Cincinnati: The Christ Hospital
2139 Auburn Avenue, Suite 201
Cincinnati, OH 45219
(513) 793-4000
5 minutes from downtown Cinci,
At the Christ Medical Office Building

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Northern Kentucky
1881 Dixie Highway, Suite 300
Fort Wright, KY 41011
3 minutes from downtown Cincinnati &
visible from I-71/75

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