How Do I Avoid Getting a "Refund Gap"?

The abnormal wide space between the two breasts can be reduced transposing the breast tissue medially.  This can be done through a circumareola approach.  There is a new technique called The Mini Ultimate Breast Lift and can be used simultaneously with a breast augmentation.  When placing implants retro-pectoral, it may be difficult to go from a 32 B to a 32 DD.

Best Wishes,

Gary Horndeski, M.D.

Post-operative cleavage will always be determined by the natural distance that exists between the inner edges of a woman's breasts and the distance between her nipples. When performing breast augmentation, although the implants can be cheated closer together a small amount, they still must be centered more or less beneath the nipples. Placing them elsewhere will lead to an unnatural appearance. This means that patients will have cleavage similar to their natural state even after their augmentation results become visible.  Therefore, looking at your natural cleavage can help you get a rough idea of how your cleavage will be after surgery.

Thank you for your question. The main determining factor for having a wide separation between the breasts is a wide breast bone. Trying to narrow that distance by putting the implants closer together makes the breasts look abnormal and increases the risk of rippling in that area.