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Loss of Cleavage Volume Solutions: Breast Augmentation Procedures in Korea for Natural Results

Loss of Cleavage Volume Solutions: Breast Augmentation Procedures in Korea for Natural Results
Monday, Jun 23, 2025

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When people talk about "loss of cleavage volume" or a "flat upper chest appearance," they're describing a common concern about the look of their chest. To address this, it’s important to understand what cleavage is, why it matters, and what causes its reduction.

What Is Cleavage and Why Does It Matter?

Cleavage is the narrow space or hollow between a woman's breasts, often highlighted by certain necklines (décolletage). Beyond anatomy, cleavage has cultural and social significance, influencing self-image and confidence. Many seek to restore cleavage not just for looks, but for psychological comfort and self-esteem. Surgically, achieving attractive cleavage means carefully managing the space between the breasts and ensuring enough volume in the inner breast area.

Other Terms and Related Conditions

Patients might say they have "loss of volume to the top of their breasts" or want "more cleavage." Surgeons often call this "loss of upper pole fullness," which means the upper part of the breast looks empty, making the chest appear less youthful. This is different from a generally flat chest wall.

A related condition is "Uniboob" or "Symmastia," where the breasts merge across the midline, erasing the natural cleavage. Symmastia can be genetic or result from previous breast augmentation. Symptoms include lack of cleavage, skin tenting between the breasts, discomfort, and loss of breast definition. The key difference: symmastia is about merging tissue, while upper pole fullness loss is about emptiness in the upper breast.

Another term is "breast ptosis" (breast sagging), where breasts lose volume and shape, often with nipples pointing downward. "Pseudoptosis" is when the nipple stays above the breast fold, but loose skin creates a saggy look.

Why Does Cleavage Volume Decrease?

Several factors can lead to reduced cleavage volume:

  • Natural and Physiological Factors:

    • Aging: Skin loses elasticity, breast tissue shrinks, and supportive ligaments weaken, reducing breast size and fullness.
    • Pregnancy/Hormonal Changes: Breasts enlarge during pregnancy, stretching skin. Afterward, loss of glandular tissue and sagging can occur.
    • Weight Fluctuations: Gaining or losing weight changes breast fat content, sometimes leaving a deflated look.
    • Genetics: Natural breast size, shape, and spacing are inherited. Some women have wide-set breasts or rare congenital symmastia.
    • Natural Anatomy: Chest width, breast spacing, and tissue amount determine cleavage. Implants add volume but don’t change natural breast position.
  • Post-Surgical Factors (for iatrogenic Uniboob/Symmastia):

    • Over-dissection: Too much tissue separation during surgery can cause breasts to merge.
    • Oversized Implants: Implants too large for the body can push breasts together.
    • Improper Implant Positioning: Placing implants too close or too wide can cause merging.
    • Poor Post-Op Care: Not wearing the right bra after surgery can contribute to uniboob.

Distinguishing from Other "Flat Chest" Issues

Not all flat chest appearances are due to breast tissue. Some are skeletal or muscular:

  • Chest Wall Deformities: Conditions like "flat chest," Pectus Carinatum ("pigeon chest"), or Pectus Excavatum (sunken chest) are bone/cartilage issues, not breast tissue problems. Breast augmentation doesn’t fix these.
  • Muscle Underdevelopment: A flat upper chest can also mean underdeveloped pectoral muscles, often addressed with exercise, not surgery.

loss of cleavage volume korea

Breast Augmentation: A Detailed Medical Overview

Breast augmentation is a popular surgery to enhance breast size and shape, usually for cosmetic reasons. It involves placing breast implants under the breast tissue or chest muscle. Fat transfer—using liposuctioned fat from other body areas—can also be used to add volume and contour. The main goals are fuller, more symmetrical breasts and improved confidence.

Types of Breast Implants

Choosing the right implant is crucial, as it affects cleavage and the natural look.

  • Filling Type:

    • Saline Implants: Filled with sterile saltwater, inserted empty and filled during surgery. If ruptured, they deflate quickly and the body absorbs the saline.
    • Silicone Gel Implants: Filled with cohesive silicone gel, they feel more natural. Leaks are less obvious, so regular MRI checks are needed.
    • Highly Cohesive Silicone "Gummy Bear" Implants: Hold their shape even if the shell breaks, less likely to ripple, and come in shaped or round options.
  • Shape:

    • Round Implants: Symmetrical, create fuller upper breasts and more cleavage. Less likely to wrinkle or show shifting.
    • Shaped/Teardrop Implants: Mimic natural breast shape, thinner at the top, fuller below the nipple, often textured to prevent rotation.
  • Profile: Refers to how far the implant projects from the chest.

    • High-Profile Implants: Narrow base, project more, create dramatic fullness and cleavage but can look unnatural if overdone.
    • Moderate-Profile Implants: Balanced width and projection, often give the most natural cleavage.
    • Low-Profile Implants: Wider base, subtle projection, for understated enhancement.

Table: Breast Implant Options and Their Impact on Cleavage

Implant CharacteristicType/Shape/ProfileImpact on Cleavage/Upper Pole FullnessKey Considerations
Filling TypeSalineCan enhance cleavage, less natural feelSmaller incision, rapid deflation if ruptured
Silicone GelNatural feel, good fullness and cleavageMimics breast tissue, needs MRI checks
Gummy BearStable fullness, less ripplingHolds shape, shaped or round options
ShapeRoundFuller upper pole, more cleavageSymmetrical, less wrinkling
TeardropNatural slope, less upper pole fullnessTextured, mimics natural breast
ProfileHighDramatic projection, more cleavageNarrow base, risk of unnatural look
ModerateBalanced, natural cleavageGood for proportional look
LowSubtle, natural enhancementWider base, less projection

Incision Techniques: Pros and Cons

Surgeons choose incision sites to minimize visible scarring and maximize control:

  • Inframammary (Under the Breast): Most common, scar hidden in the crease, doesn’t affect nipple sensation or breastfeeding, but scar may show when lying down.
  • Areolar/Periareolar (Around the Nipple): Scar blends with nipple edge, allows precise implant placement, but may affect nipple sensation and breastfeeding.
  • Transaxillary (Armpit): No breast scar, but less control for the surgeon and scar may show in sleeveless clothing.
  • Transumbilical (Belly Button): No breast scar, but less precise, used only in select cases.

Implant Placement Options

Where the implant sits affects the final look and cleavage:

  • Submuscular (Below the Muscle): Most common, gives a natural look and feel, reduces risk of hardening, but muscle can push implants outward, making tight cleavage harder to achieve.
  • Subglandular (Above the Muscle): More pronounced cleavage, but higher risk of merging (symmastia) and a less natural look if not done carefully.
  • Dual Plane: Upper implant under muscle, lower part above, combining benefits of both placements.
  • Subfascial: Over the muscle but under the fascia, aiming for natural volume with less pain and quicker recovery.

Fat Grafting for Cleavage Enhancement

Fat transfer breast augmentation uses liposuctioned fat from areas like the hips or thighs, which is purified and injected into the breasts. This can refine cleavage, especially in the inner breast, and is often combined with implants for a softer, more natural look. Platelet-Rich Plasma (PRP) can be added to improve fat survival and reduce inflammation.

Key Factors Influencing Cleavage Results

Getting the desired cleavage is a mix of:

  • Individual Anatomy: Chest width, breast spacing, tissue amount, nipple position, and muscle attachment all set the limits for cleavage.
  • Implant Selection: Size, shape, and profile matter—wider or higher-profile implants can enhance cleavage.
  • Surgical Technique: Precise pocket creation and, if needed, releasing muscle attachments can help achieve closer cleavage.
  • Surgeon Skill: The surgeon’s experience is crucial for balancing all these factors and avoiding complications.

It’s important to remember that anatomy sets boundaries—some people simply can’t achieve very tight cleavage, no matter the implant or technique.

Potential Complications

While generally safe, breast augmentation can have complications:

  • Symmastia ("Uniboob"): Breasts merge, losing cleavage, often from over-dissection or large implants. Correction may require revision surgery or fat transfer.
  • Implant Rippling: Visible or palpable wrinkles, especially if there’s little natural tissue or if cleavage is made too tight.
  • Bottoming Out: Implants drop too low, leaving the upper breast empty.
  • Nipple Sensation Loss: More likely with periareolar incisions.
  • General Surgical Risks: Include bleeding, infection, and rare complications like pneumothorax.

Trying to force very tight cleavage can backfire, leading to issues like symmastia or rippling.

loss of cleavage volume korea

Best Clinics in Korea for Loss Of Cleavage Volume

Listed below are the best clinics in Korea for loss of cleavage volume:

Clinic NameKey FeaturesSpecial Techniques
Seojin Plastic Surgery ClinicLeader in advanced cosmetic surgery in Gangnam, Seoul; Dr. Lee Hyungmin recognized as one of Korea’s Top 100 Good Doctors 2022; No. 1 in Breast Augmentation Category at KBS N Korea Broadcasting Brand Awards; Over 2,300 breast surgeries performed; Active in international academic conferences; 16+ years experience; Commitment to safety, precision, and patient satisfaction3D breast implant modeling; Free implant trial bra service; Microscale Dual Plane; 3D Spatial Dissection; Hybrid breast augmentation (implants + fat grafting); Sagging correction without traditional lift surgery minimizing scarring
THEPLUS Plastic SurgeryLocated in Garosu-gil, Gangnam, Seoul; Team of board-certified surgeons (Dr. Kim, Dr. Jeong, Dr. Lee); Dr. Kim known for 3D implants, rhinoplasty, facial contouring; Dr. Jeong President of Korean Society of Plastic Surgeons; Dr. Lee specialist in breast augmentation; Four purpose-designed floors offering consultation, surgery, post-op care; Active in academic research and global medical education; Focus on patient safety, satisfaction, personalized communicationAdvanced cosmetic and reconstructive surgery; Procedures addressing loss of cleavage volume and other advanced cosmetic needs
Okay Plastic Surgery ClinicPremier destination for loss of cleavage volume in Korea; Led by Dr. Cho, expert in breast surgery; Handles complex cases including severe breast reduction; Patient-centered, individualized care; Team includes experienced female plastic surgeon; Combines empathy, cutting-edge technology, comprehensive aesthetic services; Commitment to excellence and innovationAdvanced breast surgery techniques including severe breast reduction; Tailored treatments for unique patient needs

Seojin Plastic Surgery Clinic

Seojin Plastic Surgery Clinic, located in the heart of Gangnam, Seoul, stands as a leader in advanced cosmetic surgery, particularly for those seeking solutions to loss of cleavage volume. Under the expert direction of Dr. Lee Hyungmin—recognized as one of Korea’s Top 100 Good Doctors in 2022—the clinic has earned a reputation for excellence, including being ranked No. 1 in the Breast Augmentation Category at the KBS N Korea Broadcasting Brand Awards. With over 2,300 breast surgeries performed and active participation in international academic conferences, Seojin Clinic remains at the forefront of the latest trends and technologies in breast augmentation.

The clinic offers a comprehensive range of specialized services, including 3D breast implant modeling, a free implant trial bra service, and advanced surgical techniques such as the Microscale Dual Plane and 3D Spatial Dissection. Seojin’s approach is highly personalized, with Dr. Lee providing end-to-end care for every patient. The clinic is renowned for innovative procedures like hybrid breast augmentation, which combines implants with fat grafting for natural softness and contour, and sagging correction without traditional lift surgery, minimizing scarring. With more than 16 years of experience and a commitment to safety, precision, and patient satisfaction, Seojin Plastic Surgery Clinic is a trusted destination for those seeking to restore or enhance cleavage volume in Korea.

You can check out their website here: Seojin Plastic Surgery Clinic Website

THEPLUS Plastic Surgery

THE PLUS Plastic Surgery clinic, located in the vibrant Garosu-gil area of Gangnam, Seoul, stands at the forefront of advanced cosmetic and reconstructive surgery in Korea. The clinic is led by a distinguished team of board-certified surgeons, including Dr. Kim, Dr. Jeong, and Dr. Lee, each renowned for their expertise and commitment to excellence. Dr. Kim is internationally recognized for his pioneering research on 3D implants and his mastery in rhinoplasty and facial contouring, while Dr. Jeong, the current President of the Korean Society of Plastic Surgeons, is celebrated for his innovative approach that blends function with aesthetics. Dr. Lee, a specialist in breast augmentation, brings extensive experience from top hospitals and is dedicated to achieving natural, long-lasting results for her patients.

Spanning four purpose-designed floors, THE PLUS Plastic Surgery offers a comprehensive range of services, from initial consultation to surgery and post-operative care, all under one roof. The clinic’s surgeons are not only skilled practitioners but also active contributors to academic research and global medical education, regularly presenting at international symposiums and publishing in leading journals. With a philosophy centered on patient safety, satisfaction, and personalized communication, THE PLUS Plastic Surgery has earned a reputation for delivering world-class results, particularly in procedures addressing loss of cleavage volume and other advanced cosmetic needs.

You can check out their website here: THEPLUS Plastic Surgery Website

Okay Plastic Surgery Clinic

Okay Plastic Surgery Clinic stands out as the premier destination for addressing Loss of Cleavage Volume in Korea, thanks to its unparalleled expertise and patient-centered approach. Under the leadership of Dr. Cho, a renowned authority in breast surgery who has consistently contributed to academic research and advanced surgical techniques, the clinic offers solutions for even the most complex cases—including severe breast reduction procedures that most other clinics are unable to perform. At Okay Plastic Surgery Clinic, every patient benefits from a transformative journey rooted in sincerity, precision, and individualized care, ensuring that treatments are meticulously tailored to each person’s unique needs and aspirations. Supported by a team of specialized professionals, including a highly experienced female plastic surgeon, the clinic combines empathy, cutting-edge medical technology, and a comprehensive range of aesthetic services to deliver exceptional results. This commitment to excellence and innovation makes Okay Plastic Surgery Clinic the best choice for anyone seeking to restore or enhance cleavage volume in Korea.

You can check out their website here: Okay Plastic Surgery Clinic Website

South Korea is a top destination for plastic surgery, including breast augmentation, thanks to its advanced techniques, skilled surgeons, and comprehensive patient care.

Why South Korea?

  • Expertise and Innovation: Korean surgeons are known for their specialization and cutting-edge methods, often ahead of Western trends.
  • Advanced Technology: Clinics use tools like 3D breast modeling and spatial dissection for precise results.
  • Great Value: Costs are 40–75% lower than in the US, with no compromise on quality. Packages often include everything from surgery to aftercare.
  • Comprehensive Support: Clinics offer all-inclusive packages covering consultations, surgery, hospital stays, medications, follow-ups, translation, accommodation, and airport transfers.
  • Thorough Aftercare: Korean clinics are praised for attentive post-surgery support.

Step-by-Step Process for International Patients

  1. Choosing a Clinic and Surgeon: Research accreditation, surgeon qualifications (look for KSPRS board certification), experience with international patients, and real patient results. Avoid clinics chosen solely for social media presence.
  2. Consultation: Start online, then meet in person. Discuss goals, body type, and options. Many clinics offer translation and 3D modeling to help visualize results.
  3. Pre-Surgery Prep: Undergo medical tests and follow instructions about medications, alcohol, and smoking. Plan to stay in Korea for 1–2 weeks.
  4. Surgery: Performed under general anesthesia, lasting 1–3 hours. Implants are placed via chosen incisions and positions. Fat transfer may be added.
  5. Post-Op Care: Patients receive detailed instructions, wear supportive bras, and rest. Most return to work in about a week, but strenuous activity is restricted for 4–6 weeks.
  6. Follow-Up: Regular check-ups, often with virtual options for international patients.

South Korea’s structured packages make the process smooth, but always prioritize surgeon credentials over marketing.

Cultural and Aesthetic Approach

Korean plastic surgery often aims for natural, harmonious results, enhancing the body in a balanced way rather than creating dramatic or artificial changes.

Cost Analysis: Breast Augmentation in South Korea vs. Global Destinations

South Korea offers advanced care at competitive prices, making it attractive for medical tourists.

Average Costs in South Korea

Breast augmentation typically costs $3,000 to $10,900 USD, with some sources quoting up to $15,000 USD depending on clinic, procedure complexity, and implant type. Packages often include:

  • Medical Insurance: Covers complications.
  • Medical Tests: Pre-op tests included.
  • Accommodation: Guesthouses or partner hotels for recovery.
  • Airport Transfer: Pick-up and drop-off services.
  • Language Assistance: Translators and interpreters.
  • Aftercare: Follow-up appointments and support.

Costs vary by surgeon experience, clinic reputation, location (e.g., Gangnam in Seoul), implant type, and surgical complexity.

Comparing Global Costs

  • USA: Itemized billing, usually 40–75% higher than Korea.
  • Turkey: $5,500–$6,000 USD for augmentation, but lower prices may mean less comprehensive care.
  • UK: $10,000–$12,000 USD, often excluding extras.
  • Europe: $8,500–$9,500 USD, usually not all-inclusive.
  • Malaysia: $6,000–$11,000 USD, often with similar inclusions as Korea.
  • Thailand: $2,700–$12,000 USD, inclusions vary.

While Turkey and Thailand may offer lower prices, South Korea’s all-inclusive, high-quality packages reduce hidden costs and risks.

Why South Korea Stands Out

South Korea combines advanced surgery, experienced surgeons, and comprehensive care at a competitive price, making it a top choice for medical tourists.

Patient Experiences and Outcomes: Addressing Loss of Cleavage Volume

Breast augmentation is highly effective for those with "loss of cleavage volume" or a "flat upper chest appearance," improving both physical appearance and self-confidence.

Restoring Upper Pole Fullness and Cleavage

Women with naturally flat chests or those who lost volume due to aging or previous surgery often find implants (like INSPIRA) restore fullness and projection. Many report satisfaction with their new look, feeling more proportional and natural.

Achieving Desired Cleavage

Augmentation can enhance cleavage, especially for those with small or wide-set breasts. The outcome depends on implant choice, surgical technique, and anatomy. Fat grafting can further refine cleavage and symmetry. Patients often report better-fitting clothes and increased confidence.

Boosting Confidence and Well-being

A major benefit is improved self-esteem and comfort in clothing. Studies show that satisfaction is linked more to overall well-being than to specific breast or implant features, highlighting the procedure’s impact on quality of life.

Setting Realistic Expectations

Patients should understand that anatomy limits what’s possible. The surgeon’s skill is key to achieving the best result within those limits. The goal is a natural, beautiful enhancement—not extreme cleavage that could cause complications. Supportive bras can create more dramatic cleavage than what’s naturally possible.

Conclusion

"Loss of cleavage volume" or a "flat upper chest appearance" often results from reduced upper pole fullness or, in some cases, symmastia. Causes range from aging and weight changes to surgical complications. Breast augmentation—using various implant types, shapes, and profiles, along with techniques like fat grafting—can effectively address these concerns, but results are shaped by individual anatomy and surgical expertise. South Korea stands out for its advanced techniques, skilled surgeons, and comprehensive, value-driven packages, making it a top choice for medical tourists. Ultimately, success depends on realistic expectations, thorough research, and choosing a qualified, experienced surgeon.

References

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