Breast Implant Revision: Q&A
Ask a QuestionBreast Augmentation Redo to Bring Breasts Closer Together?
Hello. I had a Breast Augmentation 5 years ago they are 300cc mentor round saline implants that are under the muscle. They are very far apart and flatten out when my arms flex.
I would like to get them redone so I can have some cleavage. Is this possible because my areolas are very far apart naturally and I have a very round ribcage. I want a wider closer together breast without have a lot of projection Is this all posible?
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19 Doctor Answers |
Asked by
jkimmel
in california
+3
Revision of Breast Implants to Bring Closer Together for Better Cleavage
Thank you for your question.
Yes revision can be done to bring your breast implants closer together to improve your cleavage.
You will need a capsulorraphy or "Internal Ryan Procedure" to close down the lateral or side area of your breast implant pocket. Your implants are displaced to the side because the pocket is too large and too far off to the side.
The excess pocket can be closed with sutures. The medial pocket -near the breast bone can be enlarged to allow the new...
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Wide space
You naturally have a large separation between your breast. This has been exagerated by the lateral displacement your implants experience from the pectoralis action. This can certainly be improved surgically by a combination of using a better choice of implants (Larger, less profile) and capsular correction (closing the lateral expansion of the capsule and probably releasing the capsule medially) Even though the appearance will improve there will still be a fair amount...
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+2
Breast Augmentation Redo to Bring Breasts Closer Together?
Looks like yo have done your homework !
You are right, when your chest anatomy is rounded or has a pectus carinatum (pigeon chest) appearance it does tend to place the breast and the nipple areolar complex more lateral. That will separate breast apart and decrease the "cleavage". Breast implants of the right size, width and projection can improve this problem to a certain degree in an unaugmented patient. It is important to choose the right implant for the right patient. Thin patient's...
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More cleavage
Getting the implants closer together is certainly possible but creating cleavage where where you not have had any or enough is very difficult and risky. Your issue is not simple and I recommend you speak with a plastic surgeon and have a complete examination of both the implants and your chest wall.
Tampa Plastic Surgeon
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Breast implant revision
Much of the final “look” achieved after breast augmentation revision surgery depends on several factors:
1. The initial shape, size (volume of breast tissue), symmetry of the patient's breasts. In general, the better the preoperative breast appearance the more likely the breast augmentation “look” will be optimal.
2. The experience/skill level of the surgeon is important in determining the final outcome. For example, the accurate and gentle...
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Breasts and cleavage
Cleavage is sometimes hard to give to patients that anatomically did not have it before. You can cheat it a bit by using wider implants, and making sure that the implants are not falling off to the sides by tightening the lateral capsules.
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You need revisionary surgery
Breast implants are wonderful, but there are times when surgery revision is appropriate and necessary to achieve a more beautiful and natural result.
In your case the implants are farther apart than they should be. You need a wider implant that will fit the width of your chest wall and overall be more appropriate for you than the original size that was picked. Sometimes with the high profile implants, they are quite narrow and really only good for patients that have...
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The Great Divide in Breast Augmentation
Ms. JKimmel,
Sometimes women can have reshaping of the internal aspects of the pocket (capsule) and/ or a wider implant can be used. What is important is to try to place the implant so that the nipple-areolar complex is centered on the implant. If you have widely spaced nipple-areoar complexes due to a rounded chest shape it would throw off the relationship between the implant and the nipple-areolar complex if the implants are placed closer together. It may not be possible to increase the...
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Breast Revision Surgery
You can definitely have an improvement. However, one needs to be careful not to over do it as you have mentioned is that your nipples are far apart.
The key is to center the implant just under your nipple and areola complex. So yes the implants need to be moved over a bit by a capsulorrhaphy and center under your NAC, but they will still be some what far, closer than they are now and better looking but still you will not have a lot of cleavage, and that is secondary to your anatomy...
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Revision breast augmentation can help with cleavage
I feel breast augmentation revision would be beneficial to help improve your cleavage and recenter your nipples. It appears the pocket that was created under your muscle from your first surgery may have been to large allowing your implants to migrate laterally. As a result, your nipples are not centered on your breast mound and you have lost whatever cleavage you may have had prior to surgery.
In an attempt to correct this problem, I feel you may benefit from either changing the location...
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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.
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