Is There Any Way to Get my Breasts Closer Together Without Going Back Under the Knife?

Question

I'm two weeks post-op. I went from a 32AA to a 32C. I had 400cc silicon implants placed under the muscle. My doctor said that I had very little breast tissue and one of my natural breast is slightly larger than the other before the surgery. My breasts are now far apart and my left breast also hangs lower than my right. Are there any type of sports bra that can bring them closer together. I noticed that they are further apart when I get up in the morning after lying on my back all night.

David A. Bottger, MD · Answer

Developing an optimum amount of medial breast fullness is often difficult in women with minimal breast tissue and I don't think it is related to your implant positioning which seems appropriate. The implants are situated behind the pectoralis muscle and cannot be moved closer together or they would disrupt the origin of the muscle on the chest wall and create potential deformities. Unfortunately, with minimal breast tissue patients, a wider space may be apparent between the breasts which is unavoidable. I would recommend a standard sports bra during the first month In general for support but I don't think this will produce any significant "movement" of the implant position. Expect the implants to drop slightly in the vertical direction over the next month or two.

Richard J. Bruneteau, MD · Answer

The vast majority of patients who undergo breast
augmentation consider cleavage to be an important component of an aesthetically
attractive breast.Unfortunately,
patients sometimes present with anatomic constraints that limit how much
cleavage can be obtained with this procedure.When patients have laterally sloping chest walls and laterally
positional nipple areola complexes, cleavage isn’t always possible.Efforts to create cleavage by moving implants
in an unusual direction can often result in secondary deformities. Your
pictures suggest relatively good positioning of your implants.They’re centered properly beneath the nipple
areola complexes.With resolution of
swelling and muscle spasm, you might ultimately be happy with your result.For these
reasons, efforts to move your implants in a medial direction, either with a
support bra or additional surgery, are not indicated and could have negative
consequences.It’s important to discuss
these issues with your plastic surgeon.Your surgeon should be able to address your concerns.

David Stoker, MD · Answer

It is likely that the midline border of the pectoralis major muscle will determine how close together your breast will be.  Using a support bra that pushes the implants toward the midline, especially within the first few weeks following surgery, may help you to achieve your desired result.  Patients should discuss this with their surgeons before moving the implants.

Aaron Stone, MD · Answer

For optimal breast aesthetics we like to have the line between the notch above the breast bone and the nipples and another between the nipples themselves form an equilateral triangle. Then we want the breast tissue and implants centered under the nipples. In your case the internipple distance (base of the triangle) is slightly longer than the other 2 sides of the triangle but the nipples still point straight forward. When the base of the triangle becomes very long the nipples point out to the sides. Your implants look centered under the nipples horizontally and the 2 sides are close to symmetric but the implants are just a bit high of center in the vertical dimension. This will likely settle down with time and gravity.

	Breast implants cannot create cleavage if it did not exist prior to their placement. Since you were an AA cup you did not have cleavage before surgery and so cannot get it afterward. The base of the triangle could have been decreased at the time of surgery by medial crescent mastopexies to give the illusion that the implants are closer together. This however would have given you some additional skin scarring. Your current result is about as good as could be expected given what you started with. The final result is dependent on the amount of natural breast tissue vs. implant material and how well the natural tissue covers the implant among other factors. Since you are early after surgery the implant position is still shiftable so the best thing you could do is wear a bra most of the time. This will help with what you see as outward shifting of the implants while sleeping.

	My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Michael M. Omidi, MD, FACS · Answer

Thank
you for the question.  You are still too early in
the post operation recovery stage. It usually takes about 8-12
weeks for the wounds to heal and around 4-6 months for the implants to fully
settle.  It would be best to visit your
board-certified plastic surgeon and get a full assessment if you are unhappy with the results after 6 months.  Best of luck. Dr. Michael Omidi.

An
in-person exam with a board-certified plastic surgeon is the best way to assess
your needs and provide true medical advice.

Is There Any Way to Get my Breasts Closer Together Without Going Back Under the Knife?

Answers (13)

Answer: Wide space between breast implants

Answer: Wide space between breast implants

Answer: Implant position appears to be good...

Answer: Implant position appears to be good...

Answer: Moving breast implants closer together

Answer: Moving breast implants closer together

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Our mission is to create a world where every investment in modern beauty is Worth It.

Is There Any Way to Get my Breasts Closer Together Without Going Back Under the Knife?

Answers (13)

Answer: Wide space between breast implants

Answer: Wide space between breast implants

Answer: Implant position appears to be good...

Answer: Implant position appears to be good...

Answer: Moving breast implants closer together

Answer: Moving breast implants closer together

Recommended reading

Everything you need to know about Breast Augmentation

Answer: Breast augmentation -getting it right the first time

Answer: Breast augmentation -getting it right the first time

Answer: Closing the gap

Answer: Closing the gap

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Our mission is to create a world where every investment in modern beauty is Worth It.