What can be done to make my breasts closer together and my nipples appear more symmetrical? (photo)
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How to get implants closer together
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Latal implant displacement
I agree the more medial release of the pectoralis major muscle is needed to place the implants more centrally on the chest. The width of the implants may need to be assessed to ensure appropriate width for your chest wall as well.
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What can be done to make my breasts closer together and my nipples appear more symmetrical?
Sorry to say only an attempted re operation to release more of the medial muscle could maybe help. Best to seek IN PERSON second opinions..
In my opinion, I suggest for you to wait until your breast settle completely. I suggest a moderate profile implant and that way get them a little closer together, how ever it might not give you the result you're looking for because of your muscles being already designed that way.
Uneven breasts following augmentation
Correcting widely separated breast augmentation to a closer symmetrical natural result with Subfascial Augmentation
Unfortunately your results are very typical breast augmentation results for a dual-plane augmentation with high profile implants. The dissected pectoralis major muscle tends to create this splayed apart appearance and it tends to get worse with time. Most women who undergo this procedure indeed have separated very "augmented" looking breasts. I personally find it unacceptable and for this reason have never performed a dual-plane breast augmentation nor have I ever used high profile implants in my private practice.
I prefer a natural appearance without stigmata of surgery or the augmented look. This is why I use a technique called the "Cold-Subfascial Breast AugmentationR" THis technique leaves the pectoralis major muscle in its natural position and relies on the strong natural tissue above the muscle called fascia to provide shaping and support. The subfascial plane allows more complete control of the shape of the breast and alows a natural start near midline that is not separated and drapes beautifully like a natural breast. I also prefer to use more natural appearing anatomically shaped highly cohesive gel "gummy bear" implants which fit a more natural aesthetic. I have had great success converting patients from dual plane to supported subfascial and think that the subfascial plane with lower profle wider implants, preferably anatomically shaped is the way to go for you. I hope this helps!
All the best,
Rian A. Maercks M.D.
Options to improve breast augmentation appearance
It is a little early to make any recommendations as they will still change and drop some in the next few months. It appears that you have sub muscular implants which is appropriate in a slim individual like yourself. However sub muscular implants will sit further apart than sub glandular implants. I would recommend waiting 4-5 months to all ow the implants to completely settle before considering further options. Depending on how they settle a small adjustment in implant position may or may not be necessary for them to appear more even. In order to obtain more cleavage, you may consider fat transfer to this area as a secondary procedure. This is a procedure know as composite breast augmentation. Changing to over the muscle will also place them closer together, but there are some disadvantages such as increased risk of capsular contracture or hardening.