What Can I Do to Fix my Wide-spaced Breasts?

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?

Doctor Answers 14

Widely spaced breasts may be treated using a few different options

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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.

Miami Plastic Surgeon
4.9 out of 5 stars 30 reviews

There is hope

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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.     

David J. Levens, MD
Coral Springs Plastic Surgeon
5.0 out of 5 stars 79 reviews

Implants, Wide-Spaced Breasts and Cleavage

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Thank you for your question.  Many patients who are interested in undergoing a breast augmentation procedure are concerned with the amount of cleavage they can expect post-operatively.  Unfortunately, a patients pre-operative anatomy will determine how much post-operative cleavage that a patient can expect.  Remember that an implant is used in order to increase breast volume.  Implants are placed utilizing the patients nipple-areolar complex (NAC) as the center-point and, as such, if a patient begins with wide-set breasts they will still have somewhat wide-set breasts post-op.  This is not to say that patients may not achieve a certain degree of improvement, because many times patients will cite improvement in the amount of cleavage that they have after surgery, but it is important to note that implants cannot use any other landmark as the center-point or they will end up with misshapen and unnatural appearing breasts.

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

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It’s not unusual for patients to have specific aesthetic goals for size, contour and cleavage.Unfortunately, these aesthetic goals aren’t always easily accomplished and, for this reason, compromises may occasionally be necessary.This is frequently the case when patients are concerned about 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.

Widely separated breasts (large intermammary space)

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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.

The breast has a foot print!

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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!

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William Aiello, MD
Orange County Plastic Surgeon
4.9 out of 5 stars 65 reviews

Cleavage depends on your natural breast positioning

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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

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Thank you for your question. It is difficult to give you an opinion without seeing a picture but it sounds like you are a good candidate for breast implant surgery. Unfortunately the ability to achieve cleavage is dictated by genetics and bone and rib structure. There are several different implant types available including smooth round gel and shaped implants and a board certified plastic surgeon can give you an opinion after a full consultation.

Breasts far apart

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You hit the nail on the head, you are destined by your anatomy.  Cleavage is blocked by the muscle insertion.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Breasts that are too far apart

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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. 

Scott L. Replogle, MD
Boulder Plastic Surgeon

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.