5-6 Inch Gap Between Natural Breasts- What Can Be Done? (photo)

I'm 20 years old and have a wide sternum. My current breast size is a 36 D-cup. What I would like to know is what can be done to bring my breasts much closer together? If implants are the best course of action, which type would you personally recommend? Moderate,moderate plus,high, or extra high profile? Thanks!

Doctor Answers 28

Breast lift and fat graft for partial improvement saving other options for the future

Thank you for your question and the photos. I see the truth in other comments and will mention another possibility for you to think about options.  One possibility may be to perform breast lift supplemented with some modest fat grafting around the perimeter of the breast.  You are only 20 years old and your breasts are going to change as you age, especially if and when you have children. If you get implants now, you will almost with certainty need revisions or redo in the future.  Also, at your age, wide heavy implants will pull on your tissues and thin them out over time. This could make revisions problematic in the future.  If you get a breast lift with modest fat grafting now, you may be able to postpone surgery with implants to a later time.  Just a thought. To be sure you qualify for something like this, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.  See a surgeon who is experienced in fat transfer.  I hope this helps.

Nashville Plastic Surgeon
5.0 out of 5 stars 182 reviews

How to transform these (photo) into beautiful breasts?

1. Wide implants, 2. Submuscular positioning, 3. Areolar approach for placement, 4. Areolar lift with purse string closure for reduction of areola size and tightening of skin envelope, 5. Radial scoring of mammary parenchyma (breast gland) for even distribution of this constricted tissue across implant surface to better camouflage implant-tissue interface, 6. Post surgical support bra. 

Steve Laverson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 46 reviews

You May Want a Mastopexy or Aug/Pexy

Thank you for your question. You would actually be a good candidate for a mastopexy (breast lift surgery). On its own, a breast lift does not anatomically decrease the distance between the breasts, but it changes their shape significantly, making said distance less noticeable. If you wish to have larger breasts, you could undergo an aug/pexy, which is a breast augmentation with implants performed at the same time as a mastopexy. In terms of selecting a breast implant profile, the profile does not really affect the cleavage width.

Joshua D. Zuckerman, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 22 reviews

A breast lift

Talk to your surgeon about your concerns. They may be able to provide a solution that you'll be happy with, like a breast lift. You would probably benefit from this treatment. 

Generally speaking, it's very difficult to place the implants closer together to give you better cleavage. It may be possible to improve your cleavage a bit, but doing too much will make your nipples look abnormally to the side. 

Ronald Levine, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 24 reviews

Fixing the gap

Thank you for the question and photos.  To fix the gap and make your breasts look fuller, you can have a breast lift (periareolar), and place implants to increase the volume. It would be best to visit your board-certified plastic surgeon and get a full assessment. Best of luck. Dr. Michael Omidi.

An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.

Michael M. Omidi, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 90 reviews

Your anatomy restricts surgical options...

Cleavage is one of the characteristics that’s associated with physically attractive breasts.For this reason, it’s not unusual for patients to desire this anatomic feature.Unfortunately, this isn’t always possible because of specific anatomic restraints that they may have.
Your pictures suggest several areas of concern.These include significant breast sag, a lateral sloping chest wall, a mild tubular breast deformity and lateral displacement of your breast tissue.
Although you would benefit from submuscular breast augmentation and bilateral breast lift surgery, this might not entirely accomplish your aesthetic goals.
It’s important to realize that breast implants need to be centered beneath the nipple areola complex to avoid secondary distortion.When the nipple areola is displaced laterally, it can only be moved so far inward during a breast lift procedure without adversely impacting breast aesthetics.It’s also important to realize that underlying chest wall abnormalities can impose limitations on your final result as well.
Under these circumstances, breast augmentation performed in combination with breast lift surgery would be expected to significantly improve breast aesthetics.Unfortunately, the amount of cleavage would be limited by the lateral position of the breasts and the shape of the underlying chest wall.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Wide breast solutions

It looks like you have a tubular component and siginificant sagging.

I advixe that you seek out a surgeon with experience in these procedures.

Wide breast solutions include;

1- low profile implants that are measured to add width to the desired amount. Higher profil implants will only make it worse. High profile implants trade width for added projection - not your problem.

2- Breast lift with medialization of breast tissue. Manny lifts do not medialize breast tisuue, however a Goes lift can pull your breast tissue toward the midline.


Good Luck!

Robert M. Freund, MD
New York Plastic Surgeon
4.8 out of 5 stars 33 reviews


Your posted photos show narrow based cylinder shaped breasts with a wide separation between them i.e. there is no cleavage. Unfortunately no matter what anybody tells no current surgical technique including implants or breast lifting can create cleavage. My breast surgery consents specifically state this.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 1 review

Breast correction

As you can see by the number of posts all with different suggestions you have a very difficult case. In my experience cases like yours will not get an optimal result. Let me be quite clear on this point cases like yours are extremely difficult and will not get an optimal result under the best case scenario. The correction will typically require two or three surgeries if everything goes well.

Jay M. Pensler, MD
Chicago Plastic Surgeon
4.6 out of 5 stars 14 reviews

Tuberous breast with wide gap

Your breasts have a narrow base and you have a wide chest circumference.  To correct this problem you will need an implant of sufficient size to fill out the base diameter of the breast.   You will also need a breast lift.  The implant will create the new base for your breast pyramid.  Surgically the overlying breast tissue will need to be opened up so that it splays over the implant creating a better overall breast shape.  The breast lift will help to orient the breast over the implant and a the same time your areola can be made smaller.  During a consultation your options can be discussed.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

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.