Correcting cleavage gap: breasts too far apart

For many women, a beautiful cleavage is the most important visible result after breast augmentation or prosthesis replacement. However, in practice, we often see that this is precisely where things go wrong. Instead of a soft, feminine transition, there is too much distance between the breasts, also known as a cleavage gap.

At Gooimeer Clinics, we specialise in correcting and optimising the cleavage, both in primary breast augmentations and in corrections after previous operations. Creating a natural but pronounced Killer Cleavage is an important part of our expertise.

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What is a cleavage gap?

A cleavage gap is an excessively wide space between the breasts, visible in lingerie, a top, or a bikini. This can:

  • be present naturally

  • occur after a previous breast augmentation

  • worsen after pregnancy, weight loss, or ageing

Instead of a beautifully filled décolletage, a broad, empty area remains visible—something many women experience as bothersome.


Why are the breasts positioned too far apart?

The distance between the breasts is determined by a combination of:

  • chest width and the breastbone

  • natural boundaries of the breast tissue

  • implant width (not just volume!)

  • pocket positioning

  • level of support

A common misconception is that more cc’s automatically creates more cleavage. In reality, it comes down to width, direction, and support.


International expertise in décolletage optimisation

Dr. Van der Pot and Dr. Ahmed are internationally recognised Key Opinion Leaders in the field of breast revision and corrective surgery. They give lectures worldwide and perform live surgery demonstrations on innovative techniques, including:

  • tissue preservation

  • internal bra techniques

  • correction of cleavage gaps

This international experience enables complex anatomy and revision cases to be addressed carefully and safely.


How do we correct a cleavage gap?

At Gooimeer Clinics, we combine multiple advanced techniques.


The right implant choice

It is not the volume, but above all the implant’s width that determines how much space can be filled in the décolletage. Additional cc’s are often deliberately used to gain width, not to create excessive projection.


Internal bra techniques

Support is crucial. An implant has weight and must be guided.

An internal bra is an internal support structure, made from:

  • your own connective tissue

  • the capsule (in revision cases)

  • fascia

  • and, in exceptional cases, muscle

In patients with existing implants, we often use the capsule strategically:

  • it is reinforced on the outer and lower side

  • while on the inner side we create space toward the décolletage

This allows the implant to move inward in a controlled way.


Décolletage fat transfer (lipofilling)

For further refinement, we regularly use small amounts of fat in the décolletage. This provides:

  • softer transitions

  • less visible edges

  • extra filling between the breasts

By using limited volumes, the result remains natural.


Is a “killer cleavage” always possible?

Not to the same degree for everyone. Anatomy sets limits.

But for almost all women, we can significantly improve the décolletage—often more than expected beforehand.