My breasts are saggy and very far apart. They also don't have a very normal shape. My breast seem like they are almost on my sides. What can be done to correct them?
How to Fix Sagging, Far Apart Breasts?
Doctor Answers (29)
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How to fix sagging breasts
Thank you for your question been for your photographs. From your pictures it appears that you have a tuberous breast deformity. Basically this means that the breasts are drooping and that the fold of your breast is quite high. Full breast lift or mastopexy is used to elevate the nipples and reshape the breast. Unfortunately, there is no easy way to narrow the sternal space. Some patients have a wider sternum and some patients having narrower sternum. Implants would likely not solve the issue because they would need to be placed under the breast tissue. If they are placed too close to the midline it would make the breast look even farther apart. I would suggest you consider a breast lift first and then consider augmentation if you wish to have further volume in the upper portion of the breast. Best wishes.
Web reference: http://www.atcosmetics.com/html/BreastAugmentation.php
Improve sagging breasts with a breast lift and augmentation
Your breasts are challenging but they can most definitely be improved.
Your best option, in my opinion, is a breast augmentation to provide fullness and a full lift (please see video included).
Unfortunately, there is no treatment for breasts which are far apart. Some patients have a wide chest bone with the breasts separated. The only option is to make a cut over the chest bone, remove the wide portion and re-wire the bone back together (VERY DRAMATIC!)
It also will leave a long scar in the middle of your chest, which is not cosmetically attractive.
Lifting tubular breasts
Like many of the other doctors who have answered here- I agree that you would benefit from a well performed breast lift. Your breasts do seem to be somewhat tubular in their form, and so as part of the lifting procedure you would likely benefit from a release of the constricting tissue at the breast base on either side.
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Tuberous breast deformity
Your breasts have a tuberous shape to them, which means that they are constricted at the base, which causes the tissue to "flop" and sag. This is a challenging problem, which can be corrected by releasing the tissue, elevating it with a breast lift, and placing implants to provide volume that will match your body. I suggest seeing several board-certified plastic surgeons in your area who can evaluate you and show you photographs of similar patients. Good luck, /nsn.
Droop breasts too far to the sides
Sagging Breasts - What To Do
When breasts are naturally spaced farther apart then desired, very little can be done. It is not possible to change the position of the breasts on the chest wall. A breast augmentation can be performed as long as the implant itself is positioned directly behind the nipple. A breast augmentation may help with this appearance. If the breasts are also sagging, then a breast lift may be necessary. It is very important to consult a well-trained and Board-certified plastic surgeon to find out what can be done to correct this problem.
Correction of Breast Separation
I think you will achieve a very nice change with a breast lift. Depending on your goals in size, you may be a candidate for a small implant to increase size or a small reduction to decrease size.
Based on your photo, it appears that you have a wide breast bone. This is not something plastic surgery can correct. I do think you will see dramatic improvement in the separation and overall breast lift with a breast lift utilizing auto-augmentation.
Web reference: http://www.drpaulgill.com
Breast lift options
There are many different types of breast lift and each one is designed to take care of increasing degrees of breast sagging or ptosis. Unfortunately there are no short cuts with breast lift surgery. Many times the patients would prefer a lift with less incisions but it is not always possible. A plastic surgeon will be able to examine you and select the correct operation to meet your expectations. In you case with the amount of breast tissue below the inframammary crease you will need at least a vertical mastopexy and possibly an anchor type. This will give you the beast result. The nipples can be raised along the breast meridian eliminating the wide separation that you have.
Sagging and far apart
You seem to have a componet of the tuberous breast anomoloy with the tight infra mammary crease. This is probably of no consequence to you and your breasts can be lifted and improved tremendously with a inverted T shaped lift.
Breast Implant Position
For ideal results, you may need a breast augmnetation and a breast lift.
Many patients considering breast augmentation are seeking to not only enhance the volume of their breasts, but to also enhance the shape and/or improve the symmetry of their breasts. Essentially all breast shape and symmetry issues can be improved during breast augmentation, and with most of them it is possible to make significant improvements and produce an aesthetically desirable breast profile. Accurate preoperative evaluation, appropriate surgical planning and attention to detail during the surgery are all crucial elements in achieving this goal.
Other shape issues are quite common, including one known as 'tuberous breast'. Tuberous breasts tend to be narrow at the base and are overly projecting for their size, and this phenomenon may occur on one or both sides. In its mildest form, the lower pole of the breast is underdeveloped or may even appear constricted - sometimes referred to as a 'constricted lower pole'. In severe cases the breast is conical in shape and is sometimes described by the patient as looking like a 'torpedo' or a 'Snoopy dog'. Regardless of the degree of tuberosity, it is possible to dramatically improve the appearance of the tuberous breast during augmentation surgery using a number of specialized surgical techniques.
Many patients with severely tuberous breasts have said that they have never removed their bra in an intimate setting. Careful patient assessment, thoughtful planning and attention to detail during the surgical procedure can produce a dramatic and life-changing improvement for most patients with tuberous breasts.
The horizontal position of breast implants also requires a great deal of attention, both in pre-operative planning and in the operating room. Excessive lateral dissection of the implant pockets will result in augmented breasts with an excessively wide space between them in the cleavage area, and the appearance that the breasts are abnormally far apart. The result may (or may not) be tolerable in the upright standing or sitting position, but when the patient lays down in supine position (on one's back) the implants may fall far to the side and produce little to no anterior breast projection in this position. Patients with the problem almost always want it corrected, and the treatment once again is surgical: a lateral repair of the implant space, to restrain the implants from falling off to the side.
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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