I'm 19 but my breasts are wide spaced and unattractive so I am considering surgery options. 5'9, 120 pounds, very thin but well-proportioned. I have a good 2- 2 1/2 inches between my C cups and this area is EXTREMELY flat and boney. It is genetic. The upper center of my chest is also boney. You can see my ribs. You can't tell I am c cup. My boyfriend says I'm crazy, but I honestly want surgery so I can know what it's like for once to have some cleavage. I feel so unfeminine! Is there anything I can do?
What Can I Do to Fix my Wide-spaced Breasts?
Doctor Answers 14
Widely spaced breasts may be treated using a few different options
Implants are often used to fill in the space found on or around the breastbone(sternum). In some cases larger implants are necessary to create medial fullness of the breast.
Breast lifts(mastopexy) may also be used as a way to manipulate the tissues in the center of the chest such that a fullness of the cleavage is created. In most cases an implant and a breastlift are combined to create this desired result.
There is hope
The space between your breasts can be lessened somewhat through breast augmentation surgery. If the base diameter of your breast is matched or exceeded slightly with the proper sized implant and your soft tissues are sufficient to accomodate the size, then it is possible to lessen your gap.
Discuss your concerns at your consultation with a plastic surgeon.
Widely separated breasts (large intermammary space)
I recommend a visit to a plastic surgeon for full evaluation to rule out things like a pectus. Implants with a wide diameter may do the trick. Conversely, some anatomy can be fixed, some corrected, and some we have to accept. Only an evaluation can tell.
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The breast has a foot print!
Hi Soap, You are correct, your cleavage is directly related to the shape and width of your chest and how close your breasts naturally are together, so it is genetic! Adding more volume (breast implants) will not increase your cleavage. If your breasts are naturally set wide on your chest, you will have more fullness after your augmentation, but not necessarily more cleavage. When breasts are set wide on the chest, a patient will have more fullness after your augmentation, but not necessarily more cleavage. During surgery your surgeon should be able to create a precise pocket along the midline and center of the chest to allow for cleavage, but they are limited by your natural anatomy. I would recommend having an assessment in person with a board certified plastic surgeon and get their best opinion with recommendations. They will take measurements and explain the breast anatomy basics along with procedures and their limitations. Best of luck to you!
Implants, Wide-Spaced Breasts and Cleavage
If you are interested in undergoing a breast augmentation procedure or would like to determine what options are available to you to help provide you with most cleavage, I would strongly recommend scheduling a consultation with a board-certified plastic surgeon. At the time of your consultation and physical examination, your doctor will be best able to advise you on the benefit and limitations of a breast augmentation procedure. I hope you find this helpful and best of luck!
Anatomic Constraints Impact Cleavage
In the majority of cases, inadequate cleavage is related to anatomic considerations.These include lateral sloping chest walls, the breast shape and lateral positioning of the nipple areola complexes.It’s important to center the implant beneath the nipple areola complex.Efforts to create cleavage by moving the implant in an inward direction can result in malposition of the nipple areola.In these cases, the nipple areola would look as if it’s sitting on the side of the breast.
If you’re considering breast augmentation and cleavage is one of your primary aesthetic goals, it’s important to discuss this issue with your plastic surgeon.Your surgeon should be able to perform an examination and discuss any limitations imposed by your unique anatomy.
Cleavage depends on your natural breast positioning
Post-operative cleavage will depend on your pre-surgery cleavage. You have wide-set breasts, which means you'll probably continue to have wide-set breasts after surgery. However, while you may have a bit of improvement, it may not be as much as you want. Unfortunately, your surgeon can only do so much to give you cleavage before it looks abnormal, since the implants have to remain centred underneath your nipples.
Wide spaced breasts
Breasts far apart
You hit the nail on the head, you are destined by your anatomy. Cleavage is blocked by the muscle insertion.
Breasts that are too far apart
A picture isn't necessary. From the description it's clear that your breasts are much farther apart than average. The average is about 1 1/4 inches from my study on the subject (in patients for breast augmentation). The answer is also the same. I would strongly advise against trying to move them or make them appear closer together, particularly with C cup size breast already.
Implants can make the cleavage steeper and more defined but not bring the breasts closer together. Attempts to simulate a breast edge with an implant that is too wide for the true breast width are tricky to get stable and look natural. They are more like breast reconstruction after a mastectomy. It is possible the new form-stable or "gummy bear" 4th generation gel implants will help with this but the minimum size increase with an implant is a cup size which put you up in the D cup range.
Fat grafting might be a way to expand or extend the medial border or width of the breast contour. I'm not convinced that the amounts required for this are feasible or reasonable at this time and there are still questions about grafting fat into or around an organ that is prone to cancer.
Gaining weight is certainly not good advice but it might make the central chest area look less boney.
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.