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Is It Possible to Fix Breasts Which Are Too Far Apart?

asked 1 year ago by Tampa7630 in Tampa, FL
Latest answer by Tom J. Pousti, MD
Question viewed 2,573 times
Tags: 350-399cc, cleavage, distance, results, revision

I got breast augmentation done in 2007 and I am not happy with them. I think that they are too wide apart and I am not able to crate any cleavage, even with a push up bra. I am now researching a doctor to do my 2nd procedure and would like to know if it is even possible to correct my problem. Currently I have 360cc Saline. What type of implant should I request or what I should I ask the doctors which I am meeting with, to make sure I get what I want this time?

22 answers to Is It Possible to Fix Breasts Which Are Too Far Apart?

Cleavage Determined By Anatomy

When determining how close or far apart a patients breasts will be after augmentation, it all depends on their own anatomy. Some women have naturally larger spaces between their breasts, and there is not alot that can be safely done to move them closer. Without examining you it is hard to say, but I wouldbe very cautious of any surgeon who says that they can just cut more inside to move them closer. This can lead to symmastia ( where the implants actually lift up the tissues and... more

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon

Cleavage

The breasts look great in the photos. Do not try to force the cleavage in anymore, you may get a symmastia or what I call a "uniboob."

Steven Wallach, MD
Manhattan Plastic Surgeon

Implants Are Not Too Far Apart

The implants must be centered behind the nipple and the surgical pocket can not pass the edge of the breast bone. The distance between your breast implants is a result of the width of the breast bone, natural position of your breasts and nipples, curvature of your rib cage. There is no surgical solution for creating cleavage other than implants large enough to make cleavage with a bra.

Paul C. Zwiebel, MD
Denver Plastic Surgeon

The dreaded "Uniboob": If you put your implants any closer you risk Synmastia

I would state that I do not think your implants because if you do, you risk the implant pockets communicating and creating the dreaded Uniboob or condition called Synmastia or webbin of the skin.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

You don't need a revision

Your implants are not too far apart. Your surgeon did a good job so you should go back and ask if they think it can be any better.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Beware of unanatural cleavage

It has already been said by others that your implants are well positioned and cleavage is determined in large part by your underlying anatomy. Your natural breast does not extend past the edges of your breast bone. To create the cleavage you want the muscles would have to be detached from the bone which can lead to visible rippling and possibly webbing of the skin between your breasts (synmastia) both of which are difficult to correct. Furthermore, shifting the... more

Lori H. Saltz, MD
San Diego Plastic Surgeon

Not Enough Cleavage With My Breast Implants

As some of the other panelists have mentioned, cleavage is largely determined by your anatomy before surgery. Also, if the implants were placed under the muscle then what will limit how close the breasts will come together is the attachment of the pectoralis muscle to the sternum. Efforts to decrease this natural space between the two breasts by either 1) Separating this attachment or 2) Using implants that are too wide for your frame can lead to a problem called symmastia, or uni boob... more

Babak Dadvand, MD
Los Angeles Plastic Surgeon

It is possible to treat the wide space with fat grafting

The reason for the space is then space between the pectoralis muscle attachments to the sternum. I use fat grafting to enhance the cleavage. The fat is grafted to the subcutaneous tissue above the muscle and implant.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Breast implants and cleavage

Hello, Cleavage is mostly created by a bra and the breasts should not naturally touch. Your breast implants are well positioned and have a natural fingerbreadth space between them. If you desire more fullness medially(to create more cleavage easily in a bra) you may opt for larger implants which can enhance this region. Also fat injection can be performed medially to enhance the soft tissues without replacing the implants. Some women naturally... more

Pedy Ganchi, MD
Ridgewood Plastic Surgeon

Breast Augmentation and cleavage.

The breast implant should be centered over the breast mound and nipple. I would agree that cleavage is largely determined by your underlying anatomy. Attempts to narrow the inter mammary distance can lead to difficulties and problems as mentioned and even lead to the nipple in an eccentric location. A larger implant may help, but it is difficult to determine from your photos as you appear quite large already. Consult a board-certified plastic surgeon in... more

Stephen Delia, M.D.
Boston Plastic Surgeon

Fixing breast asymmetry

In the photos the implants look well positioned but the nipple positions are asymmetric. This may be creating what you perceive as being "too wide apart". This likely existed before surgery but is now more noticeable after surgery. If that is the case a simple crescent skin removal may be all that is required. This surgery does not create cleavage so I would not recommend additional surgery to try and get cleavage.

Aaron Stone, MD
Los Angeles Plastic Surgeon

Cleavage After Breast Augmentation Determined By Your Natural Breast Anatomy

The spacing that exists between the breasts after breast augmentation is largely a function of your own anatomy or natural breast spacing. While breast implants can increase the size of the breast mounds that does not always mean that non-bra supported breast cleavage will be created. In fact, such cleavage after breast augmentation is uncommon. For some patients it may be impossible to ever give them the closeness of the implants that they desire. In submuscular implant placement, the inner... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

Implants to far apart?

Thank you for the question pictures. Based on your pictures, I do not believe the implants should be placed any closer to the midline of the chest. Attempting to do so would expose you to a significant risk of implant malposition/symmastia. If anything, your nipple areola complexes are already somewhat off-center suggesting that the breast implants have been placed as medially as possible (maybe even too much). Best wishes.

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Correcting breast spreading with subfascial

Breast that are too apart is a common complaint of women with sub muscular augmentations. This is one of the reasons I almost exclusively use a subfascialmplane when performing breast augmentation. I use a personal technique called 'cold-subfascial augmentation'. That allows me to create natural appearing teardrop breasts with natural cleavage. Placing implants under the muscle ensures a spreading due to the muscular forces. I hope this helps. All thE best, Rian A. Maercks M.D. more

Rian Maercks, MD
Miami Plastic Surgeon

Breast augmentation and cleavage

Based on your photos, it looks like you have a pretty natural look and that your cleavage issues are due to inability to find the right bra coupled with a volume that might be less than you might like ideally. The cleavage area is determined by the breastbone width, chest wall shape, and volume of the medial (closest to the midline) portion of the brest volume. The main risk of revision in your case, as has been said by others here, would be symmastia, where the breasts would merge in the... more

Tim Abou-Sayed, MD
Palm Beach Plastic Surgeon

Breasts too far apart

Yes it can be corrected to a certain extent.The surgeon has to be careful they don't go too far medially because if the tissue bridge between the breasts releases you have symastia or one large breast.I also would recommend silicone.so

Robert Brueck, MD
Fort Myers Plastic Surgeon

Cleavage concern after breast augmentation

Based on your photos, you look great. Your result is pretty natural. Cleavage is created by wearing bra. Whether one has wide or narrow cleavage is due to her anatomy, her width of breast plate (sternum) and underlying muscle. When one forces to have "closer" cleavage, you may end up with symmastia (uniboob), which will be a much worse, difficult problem to correct. I would leave your breasts alone if your concern is just the cleavage. more

Sugene Kim, MD
Houston Plastic Surgeon

Breast implants and cleavage.

Thank you for your question and the inclusion of photos. First off, you have a very natural look to your breasts. The position of your breasts is appropriate as is the amount of space between them. Cleavage is the result of positioning the breasts within a bra. I find it hard to believe that you cannot create any cleavage with the right bra, but rather that you cannot create the amount of cleavage you expected after your breast augmentation. To increase the amount of cleavage... more

David Bogue, MD
Boca Raton Plastic Surgeon

Breast too Far Apart After Breast Augmentation

Most experienced plastic surgeons believe in the philosophy: The enemy of good is better. Your breasts have a natural shape and it appears from you photo the gap between your breasts is due to you anatomy. In other words I do not see any breast tissue where the gap is. If one dissects more medially, then the implant will be sitting on top of your chest bone with only skin covering it. Now you may have a narrower cleavage, but you have an implant which is readily visible and... more

Michael A. Jazayeri, MD
Santa Ana Plastic Surgeon

Breasts are subjectively too far apart after augmentation

I think your breasts look terrific. The dissection cannot go any more medially. I find it hard to believe that you don't have adequate cleavage. If you felt that your nipple areolar complexes were too far apart then that could be changed with a periareolar mastopexy technique. That doesn't seem to be your issue.

Kenneth L. Stein, MD
Chicago Plastic Surgeon

Breast enlargement,Breasts far apart,more cleavage

Breast implants do not change the shape of the breasts, they just enlarge but you already have. So, if your breast are far apart, they will still be far apart after an enlargement and if close together, then close together after. It also does not give you an uplift. The only way of reshaping the breasts is with an uplift or mastopexy which requires scars which may be quite visible in about 20% of cases. Watch my videos. see video

Edward J. Domanskis, MD
Orange County Plastic Surgeon

Widely spaced breasts

The width of your cleavage area and position of your nipples is just your natural anatomy and I would not try to change it. I have had a couple of patients who nipples were way too medial (it looks cross-eyed) and I was able to move their nipples a little more lateral with a modified breast lift. I have never tried to move nipples medially although I am sure it could be done with a modified periareolar lift. Most patients accept their nipple position. I certainly... more