What Can I Do to Fix my Wide-spaced Breasts?

I'm 19 but my breasts are wide spaced and unattractive so I am considering surgery options. 5'9, 120 pounds, very thin but well-proportioned. I have a good 2- 2 1/2 inches between my C cups and this area is EXTREMELY flat and boney. It is genetic. The upper center of my chest is also boney. You can see my ribs. You can't tell I am c cup. My boyfriend says I'm crazy, but I honestly want surgery so I can know what it's like for once to have some cleavage. I feel so unfeminine! Is there anything I can do?

Doctor Answers 10

Cleavage depends on your natural breast positioning

Post-operative cleavage will depend on your pre-surgery cleavage. You have wide-set breasts, which means you'll probably continue to have wide-set breasts after surgery. However, while you may have a bit of improvement, it may not be as much as you want. Unfortunately, your surgeon can only do so much to give you cleavage before it looks abnormal, since the implants have to remain centred underneath your nipples.  

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Wide spaced breasts

Thank you for your question. It is difficult to give you an opinion without seeing a picture but it sounds like you are a good candidate for breast implant surgery. Unfortunately the ability to achieve cleavage is dictated by genetics and bone and rib structure. There are several different implant types available including smooth round gel and shaped implants and a board certified plastic surgeon can give you an opinion after a full consultation.

Widely spaced breasts may be treated using a few different options

Implants are often used to fill in the space found on or around the breastbone(sternum). In some cases larger implants are necessary to create medial fullness of the breast.

Breast lifts(mastopexy) may also be used as a way to manipulate the tissues in the center of the chest such that a fullness of the cleavage is created. In most cases an implant  and a breastlift are combined to create this desired result.

Nick Masri, MD
Miami Plastic Surgeon
4.5 out of 5 stars 11 reviews

Breasts far apart

You hit the nail on the head, you are destined by your anatomy.  Cleavage is blocked by the muscle insertion.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Breasts that are too far apart

A picture isn't necessary. From the description it's clear that your breasts are much farther apart than average. The average is about 1 1/4 inches from my study on the subject (in patients for breast augmentation). The answer is also the same. I would strongly advise against trying to move them or make them appear closer together, particularly with C cup size breast already. 

Implants can make the cleavage steeper and more defined but not bring the breasts closer together. Attempts to simulate a breast edge with an implant that is too wide for the true breast width are tricky to get stable and look natural. They are more like breast reconstruction after a mastectomy. It is possible the new form-stable or "gummy bear" 4th generation gel implants will help with this but the minimum size increase with an implant is a cup size which put you up in the D cup range. 

Fat grafting might be a way to expand or extend the medial border or width of the breast contour. I'm not convinced that the amounts required for this are feasible or reasonable at this time and there are still questions about grafting fat into or around an organ that is prone to cancer. 

Gaining weight is certainly not good advice but it might make the central chest area look less boney. 

Scott L. Replogle, MD
Denver Plastic Surgeon
4.0 out of 5 stars 1 review

Fix my wide-spaced breasts

With NO photos very hard to determine the issue and if it is correctable. See 3 boarded plastic surgeons. Be careful maybe your realistic expectations are not on course. Be careful.


Widely separated breasts (large intermammary space)

I recommend a visit to a plastic surgeon for full evaluation to rule out things like a pectus.  Implants with a wide diameter may do the trick.  Conversely, some anatomy can be fixed, some corrected, and some we have to accept.  Only an evaluation can tell.

Breast augmentation for wide-spaced breasts

The distance between breasts can be improved with a number of techniques but it's important to be seen by a plastic surgeon first-- sometimes you have this improved with implants alone, but there are other options available to you.  It's important to remember that there is naturally some bit of distance between the two breasts even in ideal anatomy, and your plastic surgeon will be able to go over this with you in detail at your consultation.

Shahram Salemy, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 112 reviews

Options for natural wide space between breasts

Without seeing you personally, no one can give you specific advice but here are a few general comments. Fat grafting can sometimes be done to conceal areas that are too thin, though this would not improve the cleavage in terms of the breasts as much. It may be worth considering low-profile implants to round out the base diameter of the breasts although this would of course make them larger. A lift wouldn't do it.

Richard Baxter, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 30 reviews

What Can I Do to Fix my Wide-spaced Breasts?

This is a very difficult problem. If you place the implants too closely to achieve cleavage, you will risk seeing ripples along the inner surface of the breasts. Fat grafing in an otpion but still in its relative infancy and you may not have sufficent fat.  

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 54 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.