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Should I Have my Breast Implants Moved Closer to Midline? (photo)

asked 5 months ago by Kmc in Pittsburgh
Latest answer by Kevin Brenner, MD
Question viewed 471 times
Tags: silicone implant, 6 months post-op, 350-399cc, middle , spacing

6 mos.ago, I had 371cc silicone implants placed. Now my implants seem to be widely spaced-the right more so than the left. My surgeon has told me that he can remove the implants, put stitches into the lateral sides of the pockets to move them closer together and reinsert them. He said he would also like to move my right nipple upward to align with the left side (although I'm really not interested in that). I would like to have more cleavage-should I have this done? How long to heal?

13 answers to Should I Have my Breast Implants Moved Closer to Midline? (photo)

Do not move your implants toward the midline

In this case, do not move your implants toward the midline. Although it is possible to move an implant to the left or right by suturing the implant pocket, implants should be centered underneath the breast mound and nipple-areolar complex. If you move your current implants too far medially in order to achieve more cleavage, you will be creating implant malposition. You may be a candidate for a wider based implant to help fill in the medial breast tissue.

Kevin Brenner, MD
Los Angeles Plastic Surgeon

Moving breast implants

This is an interesting and challenging case and I found the responses well worth considering. The problem is usually not the size of the implant in volume (although it can be) and it's not very feasible to "move" an implant. The problem is usually the location/size/characteristics/dimension of the pocket (capsule) around the implant in relation to the implant and the breast above it. The simplest solution on a secondary procedure is to analyze what is the problem,... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Evening Out the Girls

It would be nice to see a before photo because you may naturally have wide set breasts. If this is the case then moving them closer may not be possible. If the your breasts were closer and now have migrated outward then surgery would be helpful. Dr. ES

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Breast Augmentation Revision For Cleavage

While your breast augmentation result may not be perfect, there are risks and potential complications from a revision just like the original procedure. Moving implants closer toward the midline is not always easy or stable after it is done so you would have to accept the aesthetic risk of a revision that might not work or be stable long-term. I would find that improving the left breast via more volume and pocket adjustment to try and match the right breast better a more prudent approach. I... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

Breast asymmetry

Personally, based on the photos I would leave them alone. It looks like you have a reasonably good result. Your anatomy leaves you with wide cleavage as you can see how the muscle inserts onto the sternum. If anything the left side( right in the photo) looks a bit lateral and smaller. Maybe a slightly wider larger implant on the left would help.

Steven Wallach, MD
Manhattan Plastic Surgeon

Should I Have my Breast Implants Moved Closer to Midline? (photo)

Thanks for the photos. Additional surgery has risks. But it is your personal decision. I note also size differences in your left appears smaller.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Move Implants Closer to Midline

Moving your implants closer to the midline may not last long if they are under the muscle as they have a tendency to move to the side. If they are above the muscle, it may last. However, the trade off is that your nipples may point more to the side as they will not be in the center of the implant. You should consider leaving them as is.

Karol A. Gutowski, MD
Chicago Plastic Surgeon

You do not need surgery

You should look at your before pictures and check the position of the pectoralis muscle origin over the sternum. You have gap in between implants and repositioning the implants will not help. If you move the implants toward center by releasing the pectoralis muscle,you will have nipples directing outward and palpable implants over the middle . The other option is to move the implants above the muscle,but you have thin tissue and your implant will be palpable. I would leave them... more

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Keep your implants centered within the breast

Some individuals have a wide chest or breast bone and a more widely spaced breast. The breast implant belongs centered within the breast and should fit hand in glove and move with an feel at one with the breast. We feel it would be a mistake to try to move the implants closer to the center of your chest. You could have a broader diameter implant for better cleavage. There are asymmetries of the breast envelope with one nipple relecting this in its lower position, though if it not a... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Probably will move laterally again

It appears that your implants are under the muscle, which is probably the correct decision for someone with your slender build. Unfortunately, submuscular implants do displace more laterally, and cannot be placed as close together as subglandular implants. Unless the pockets are very loose on the side, I think trying to simply close the pockets with sutures will fail over time and may also give an unatural pinched in look on the side. What I see mostly in you is breast asymmetry which is... more

Jeffrey Hartog, MD
Orlando Plastic Surgeon

Secondary breast augmentation for wide intermammary distance

I am confused a bit. To me, your right breast looks terrific. The left doesn't look bad, just not the same as the right. The left side is smaller in transverse, and vertical dimensions, and looks like it projects less than the right. In general, a smaller breast. Also, the lower inner quadrant dissection is more lateral and differently shaped than the right. The IMF fold is higher, and I can't tell about the lateral aspect. I can't tell if... more

Scott E. Kasden, MD
Dallas Plastic Surgeon

Breast Implant position

Dear KMC, You do have some asymmetry in the frontal position. The left breast appears to be smaller than the right. The right breast has greater projection. This can be related to implant postiion with the left implant sitting more lateraly and slightly lower or it may be related to asymmetry that was naturally there prior to surgery.Your implants may continue to "settle" over the next couple of months so that it may be wise to postpone any revisions until one year post... more

Beverly Friedlander, MD
Short Hills Plastic Surgeon

Breast Implant Malposition?

Thank you for the question and pictures. One of the most common complications after breast augmentation surgery is implant mal-position. This occurs when the implant is in an incorrect position on the chest wall. This may include incorrect position of the implant superiorly (“riding high”), inferiorly (“bottoming out”), medially (“symmastia or uni-boob”) or laterally (falling outward into the axilla). if you feel that the breasts sit... more