Why Do Someone Women Have Large Gaps After Breast Implants?

Almost every patient says to me that they don't want the wide gap between their breasts. Rarely, if ever, is the problem due to the surgeon simply placing the implants too wide.
It is almost invariably due to some combination of : a prominent breast bone that somewhat sticks forward, a rib cage that is angled in such a way that the breasts point out to the sides rather than straight ahead, and very little fat overlying the breast bone.
The biggest mistake surgeons and patients make is thinking that a larger implant will help the situation. In fact, the opposite is usually true. A breast implant will never sit atop the breast bone; an implant does not in and of itself create cleavage where there is no natural soft tissue. So when going ever larger, it just makes the breasts seem disproportionately large relative to the gap, which emphasizest he gap. The best thing to do if a patient has this sort of configuration is to avoid overly augmenting the breasts, so that the widish gap does not look odd relative to very large breasts.
The surgeon evaluating you should be able to tell you whether you are or are not at risk for having this type of appearance.
Hope that helps.

Thank you for your question. This condition usually arises from poor choice of implant and inadequate submuscular dissection. By further dissection and appropriate use of a broader based implant this condition can be improved. Please note that some women are prone to having this issue as a result of the poor curvature of their chest wall. Hope this was helpful, best of luck!Dhaval M. PatelDouble board certifiedPlastic surgeonHoffman EstatesBarringtonOakbrookChicago

Thank you for your question.  The amount of cleavage a patient can expect after a breast augmentation procedure really depends on the anatomical shape, breast height and boarders of their natural breasts.  Most specifically and most crucial is where the medial boarder of the breasts lies and in some women it can be super close and in others fairly wide.  The distance between a patients' natural breasts cannot be changed.  Creating a breast pocket that extends past the boarders of a patients natural breast can create symmastia or a mono-breast or breast implants that fall too laterally and into the patients underarm region.  It is for these reasons in a patient with naturally wide-set breasts that 'good' cleavage may only be found in a good push-up bra.  I hope this helps!