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Why Do Someone Women Have Large Gaps After Breast Implants?

Asked 25 months ago by Trisha1984 in Minnesota
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+3

Breast augmentation and the space between the breasts

Breast augmentation is enhancement of the natural appearance and shape of the breast. The variation in chest shape, breast shape and size, can be considerable and you can begin to appreciate the differences after viewing many breast augmentation results on the web. Some chests are broad, and some breasts will have a wider distance between the nipples with less cleavage. In order for augmentation to appear natural, the implant must fit and contour the natural breast, hand in glove if you... more
Peter E. Johnson, MD
Des Plaines Plastic Surgeon
+3

Women just HATE gaps between their breasts!

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... more
Steven Teitelbaum, MD
Los Angeles Plastic Surgeon
+2

Why Do Someone Women Have Large Gaps After Breast Implants?

Why Do Someone Women Have Large Gaps After Breast Implants? Some reasons listed below: widely spaced breast mounds widely spaced nipples small diameter breast implants relative to breast diameter pectus carinatum incomplete pectoralis release pectoralis strengthening/exercises excessive lateral pocket dissection. ,,,,,
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+2

Breast implants. No one wants the big gap in between.

There is a dynamic interaction between hard tissues, (chest wall, sternum, etc), soft tissues, (the breast tissue), and the implants themselves.  Often the surgeon will aggressively dissect out the mid-line between the breasts, but the body will pull the implants apart.  During the consultation, review with your doctor your particular anatomy.  Is your chest like a bird or a valley?  How far apart and what shape are your breasts now?  Together you can then... more
Jeffrey Roth, MD
Las Vegas Plastic Surgeon
+2

Factors influencing cleavage

There isn't clear consensus on what constitutes great "cleavage" or a close distance between the breast mounds, however most of my patients neither want "butt boobs" or the "grand canyon". To a certain extent, a woman's anatomy, including the width of the breast bone, the shape of the chest wall and the "lie" of the nipples all contribute. An experienced surgeon can guide the choice of implant style and volume, preop and also use excellent... more
Lavinia Chong, MD
Orange County Plastic Surgeon
+2

Gap after breast implants can usually be avoided.

Hi. I don't agree with some of my colleagues about cleavage. In most patients, the distance between the breasts with breast implants is determined by good surgical technique.
George J. Beraka, MD
Manhattan Plastic Surgeon
+2

Gaps in cleavage

The gap in cleavage is due to your anatomy. The pectoral muscle inserts into the sternum in different ways for different individuals. This can only be "cheated" a bit with the implants.
Steven Wallach, MD
Manhattan Plastic Surgeon
+2

Breast Cleavage After Breast Augmentation

This is a great question because a lot of women don't understand why they don't have cleavage after breast augmentation. The answer is that all women have an anatomically set medial boarder of the breasts or area over the breast bone. So on some women this boarder can be very close together and therefore after augmentation they have good cleavage. However, on other women this distance can be quite wide, 3-4 cm. So after surgery this distance is still there and the only thing that will... more
Christopher L. Hess, MD
Fairfax Plastic Surgeon
+2

Breast Cleavage, Implant Placement, and Body Type

The answer to this question is not as simple and straight forward as it may seem. Breast Augmentation can result in the gap being larger, smaller, or about the same as before surgery. If a narrowing of this gap is desired, usually placing the implants above the muscle allows the surgeon to narrow the cleavage gap to a certain degree. Placing the implant under the muscle substantially limits this capability because the area where the muscle attaches to the chest wall becomes effectively the... more
Robert C. Bledsoe, Jr., MD
Dallas Plastic Surgeon
+2

Gap Between Breast Implants

Patients with a rounder rib cage often have breasts that naturally lie or point outwards. The width of the breastbone may vary as well, and smaller or narrower breasts will have more space between them. Keep in mind that your surgeon can "remodel the house" and make your breasts fuller, but not "move the whole house" to a new place on the hill!
John LoMonaco, MD
Houston Plastic Surgeon
+2

Why some women have unnatural gaps between their implants

Hi there- There are several things that can lead to an unnatural gap between breast implants and poor cleavage: Patient anatomy- there are definitely some (but very few) women in whom the creation of lovely cleavage is not possible because of the shape of their chest wall and/or the insertion point of their chest muscles. Poor implant pocket creation at the time of surgery. Poor choice of implant. This is BY FAR the most common issue in patients I see for... more
Armando Soto, MD
Orlando Plastic Surgeon
+2

Large gaps after Breast Implants

A very thought out question. There are two major reasons for a widened cleavage. The first is the anatomy of the chest/breast zone. This can be based on genetics, or trauma so a history from you as do any family members have a wide chest. Also any trauma to the ribs. The second reason is a surgery technique one, the release or the undermining of the medial flaps was to little. Hope this gives you some insight.
Darryl J. Blinski, MD
Miami Plastic Surgeon
+2

Mind the gap after breast augmentation

Trisha, You've heard all of the reasons for the occurence of wide gaps after breast augmentation, most of which are due to the underlying anatomy. The next task is avoiding the gap. If you are planning an augmentation, tell your surgeon that you prefer tight cleavage. We have many size and shape implants that can be tailored to your body characteristics. Be sure to use only a board certified plastic surgeon. Good luck!
Kenneth R. Francis, MD
Manhattan Plastic Surgeon
+2

Large gaps after breast implants

There are two main reasons for gaps between the breasts after implant placement. The first is the patient's anatomy. If the breasts are wide apart to start with, then after the implants are placed, the width may appear larger. Second, is the implant placement. If the implant is placed to laterally (far apart), then the breasts may appear to have a large gap between them.
David Shafer, MD
New York Plastic Surgeon
+2

Breast Cleavage, Gap and Breast Implants

Breast Implant Surgery is much more like Golf than Poker. In Poker the player can ask for another card or two while in Golf the player has to play the condition and terrain he/she is in. Your particular breast and chest anatomy will largely determine what result you will have. A few facts for you to consider:- Unless you are undergoing a breast lift, your implants need to be located dead center under the location of your nipples. Doing otherwise will make the implants seem too low / to the... more
Peter A. Aldea, MD
Memphis Plastic Surgeon
+2

The space between the breasts

The space between the breasts may be too wide for several reasons. 1. Started out wide and implant would be too wide to fill in the space 2. Implant width is too small 3. Implants have shifted outward after the surgery 4. Implants placed in wrong position. Your board certified plastic surgeon should be able to discuss the positives and negatives of your situation.
John P. Stratis, MD
Harrisburg Plastic Surgeon
+2

Mind the gap: getting the cleavage right with implants

It is truly remarkable how common a problem the wide gap after augmentation is, at least in the on-line B&A picture sets. There are a number of causes. Sometimes large implants above the muscle are not well supported and drift apart over time. Under muscle implants have a different problem, which is that the muscle attaches along the edge of the breastbone (sternum) so that pushes the implants apart every time the muscle flexes. The surgery is often a balancing act in that the muscle... more
Richard Baxter, MD
Seattle Plastic Surgeon
+2

Results from Breast Augmentation depends on the patients body structure

The main factor that dictates the cleavage and implant position is the nipple position and also pectoralis muscle attachment over the sternum. You will get more cleavage with sub-glandular implant placement but this has own disadvantages. If you have fair amount of breast tissue and would like silicone gel implants, you may consider having your implants above the muscle.
Kamran Khoobehi, MD
New Orleans Plastic Surgeon
+2

Wide gap betwen breast implants

 There are 3 reasons for this: some patient's bodies are prone to this, some surgeons make the pockets too lateral, and the most common reason is using an implant that has a base width that is too narrow for the patient's chest wall.
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+2

Gaps between breasts after augmentation

In general, if there is a gap between the breasts prior to surgery, there will be one after surgery as well. All that Breast augmentation can predictably do is to increase the size of the breasts. As a result, a gap will become more obvious after surgery. This is a function of an individual patient's anatomy, and I try to point this out to my patients prior to surgery if they have it so that it won't be an unpleasant surprise. Trying to reduce this gap is possible, but at all costs we want... more
Nina S. Naidu, MD
New York Plastic Surgeon
+2

The space between the breasts varies from woman to woman

Trishia, Some women naturally have wider placed breasts on their chests and since implants should be centered on the nipple, their augmented breasts will be wider set. It may also be due to where the chest muscles attach to the breast bone (sternum). There have been some high profile patients who are in the tabloids with less than optimal results and I believe soem of it is a poor choice of implant and or technique. With proper discussion before surgery, most women are very pleased with... more
Michael C. Edwards, MD
Las Vegas Plastic Surgeon
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