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Breasts Too Spaced Apart After Augmentation and Lift

asked 3 years ago by sufri in LA, California
Latest answer by Paul C. Zwiebel, MD
Question viewed 3,531 times

My breasts were sagging and I was a 34 B so decided to have surgery. It's been 2 weeks since I had Breast Lift and Augmentation (255 cc) combined with an abdominoplasty. Right now, my breasts are high and tight, but what worries me the most is that they are too spaced apart. Will they drop and come closer together when the swelling subsides, as I would like a nice cleavage.

14 answers to Breasts Too Spaced Apart After Augmentation and Lift

Cleavage After Lift

Congratulations on your recent surgery! I hope your results are all that you seek. The space between the breasts is determined by: the position before surgery distance between the nipples the curvature of your rib cage the width of your breast bone (sternum) There is really nothing a plastic surgeon can do to create cleavage in the sense that the breasts touch each other even without a bra. Implants add volume so you can push the breasts... more

Paul C. Zwiebel, MD
Denver Plastic Surgeon

www.pzwiebel.com

It all depends on your anatomy

Some of what you can expect as your final result wil depend on what you looked like before your procedure. Some women have breasts that are quite far apart, and there is simply no way to bring them as close together as we would like without using a very large implant (even in those cases, it will not always give us the look we want). One of our jobs as plastic surgeons is to spend some time with you before surgery and explain what results you can realistically expect to have--... more

Shahram Salemy, MD
Seattle Plastic Surgeon

Too soon to tell

At this point, it is too soon to tell what your final result will be. You might have swelling in the midline making your cleavage look less than it will after a few more weeks of settling. It may also be that your implants were too narrow for your chest wall and may never get the proximity in the midline you want. It may also be that your own body just won't allow as much cleavage as you were wanting. The key thing is to be patient and let the healing take place and work with your... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Breast position after breast lift with augmentation

Some changes in breast appearance will probably occur for several weeks after surgery, and the implants may 'settle" somewhat. The distance between where the breasts are located on the chest, and which creates cleavage, is usually only minimally affected by this surgery, if at all.

Olivia Hutchinson, MD
New York Plastic Surgeon

No, your implants will not spontaneously come closer together

Many patients are desirous of the look of a pronounced cleavage and believe that a breast augmentation will automatically result in this look. However, such a result cannot be guaranteed unless your anatomy allows it to happen. If your breast bone is wide and your breasts are naturally set wide apart the likelihood of achieving a pronounced cleavage from a breast augmentation is small to none. Your surgeon should have been able to predict prior to the surgery your chances of... more

David A. Ross, MD
Chicago Plastic Surgeon

Breasts too far apart after a breast lift with implant

After a breast lift with implant it is possible to notice a malposition of the implants. If you feel that there is too much space between your breasts, carefully discussed this with your plastic surgeon. Your plastic surgeon before the surgery should have pointed out the width of your chest bone and how close he can safely bring the implants together. It is also important to limit the dissection of the pocket where your implant will reside especially on the sides of your chest... more

B. Pat Pazmino, MD
Miami Plastic Surgeon

Breast Implant position

Your implants will most likely drop if they are smooth walled. However, they will not get closer together. Your cleavage is your cleavage and it is very difficult to narrow that region.

Steven Wallach, MD
Manhattan Plastic Surgeon

No

The space between the breasts is defined by your anatomy. During breast augmentation the tissue is dissected to that boarder. So if there is significant space between them, and since the breast size isn't that large you'll have to find a bra that creates the cleavage. Few women have breasts that will have cleavage, without a bra, after augmentation. So see your Nordstrom's lingerie department and get fitted.

Christopher L. Hess, MD
Fairfax Plastic Surgeon

www.hessplasticsurgery.com

Depends on the spacing before surgery

The spacing between your implants depends on the spacing you have naturally between your breasts before surgery. Some women have wide sternums or breast bones and some have narrow sternums. You do not want to have an artificially created cleavage. The skin over your sternum or breast bone is very thin and if the implants are placed too close you are likely to see the rippling and or the edge of the implants. Review your before photos with your surgeon to see how far apart your breasts were... more

Bahram Ghaderi, MD
Chicago Plastic Surgeon

There are some anatomic limitations

It is a little early to tell but typically the space between your breast is defined by the width of your sternum ( breast plate) and where your pec muscles insert into the sternum. Anatomic variations are common and it may be that there will be a bit extra space between the breasts if this is true. All the best

Talmage J. Raine, MD
Chicago Plastic Surgeon

Breast lift and augmentation results too early to tell

The shape and position of the breasts will change during the first year after this surgery so give it some more time. The distance between the breasts is partly dictated by the natural distance that was there before surgery. Every woman is different. Implants under the muscle can only get just so close together. They can be brought closer by replacing them over the muscle. But be patient.

G. Gregory Gallico III, MD
Boston Plastic Surgeon

It may be possible to bring the implant pockets closer together.

To sufri, Hi! Unfortunately, your breasts will not change very much. But be optimistic, because nothing should be done for 6 months in any case. In 6 months, you may come to like your new breasts. If not, get a couple of evaluations. It is often possible to create more cleavage, but it does depend on your exact anatomy.

George J. Beraka, MD
Manhattan Plastic Surgeon

Cleavage is unique to your anatomy

Hello Sufri I would ell you to wait until you are healed before you make any assessment. The breast implants need to be placed so that they are centered around your nipples. You cannot bring the implants in too close to the midline without making the nipples appear like they are pointing out more. In addition, if the implants are submuscular, there is a limit as to how close they can be to the midline. Smaller implants have a smaller diameter and tend to be slightly more apart. For... more

Francisco Canales, MD
Santa Rosa Plastic Surgeon

Widely-spaced breasts...

Position of the breasts on the chest is variable with some patients having widely-spaced breasts to begin with. Ideally, the implants should be centered behnd the nipple so that widely-space breasts usually means the implants can be widely-spaced unless a dimension is chosen to specifically address the cleavage or, as perhaps in your case, an operation is performed to move the nipple. In general, implants tend to drift laterally, not medially, since the rib cage on which they sit curves... more