Breasts augmentation with wide spaced breasts?

Question

my breasts are extremely wide spaced, something that I'm not too sure augmentation will even slightly correct. I'm a pretty realistic person and am definitely not expecting anywhere close to perfection, but if I'm going to spend all this money, I hope the results would make a difference ( for the better) I know I'm on the severe end of "bad" and not like those girls who get BA with small and perky breasts, so I'm not too sure if there's even hope for me. Any insight would be much appreciated.

Aldo Guerra, MD · Answer

With a wide separation, I prefer to recommend breast implants that are wider than the natural breast base, but not overly wide. I also could consider a breast implant with 3rd generation gummy bear gel like a Memory shape breast implant to push the pectoral muscle more and get better cleavage. You will need to see a board certified plastic surgeon to get you measurements and a recommendation. Best, Dr. ALDO

Leland Deane, MD, FACS · Answer

I have many patients like you and your result should be quite good. The 'spacing' between the breasts can seem off because you don't have much volume and the sternum/breast bone may make things seem wider. There are ways of giving you a lot of 'medial' fullness without causing any problems. Above all, you should look natural and still be satisfied. A surgeon with a lot of experience (at least 10-15 years) will be able to sort these things out for your. Hope this helps.Leland Deane MD FACS

Urmen Desai, MD, MPH, FACS · Answer

Placing an implant in the submuscular plane will bring your breast closer together to some degree. However, with this being said, they can't be placed too close together as this may result in a synmastia. Regardless, breast implants will help you. I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with and who is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery.

Best wishes!

Dr. Desai

Best wishes!

Dr. Desai

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  With that
being said, based on your photographs, you are a great candidate for a breast augmentation.  The size,
profile, and shape of the implant is based on your desired breast
size/shape, your chest wall measurements, and soft tissue quality. 
This decision should be based on a detailed discussion with
equal input from both you and your surgeon.   Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their
results.   The most important aspect is to find a surgeon you are
comfortable with. I recommend that you seek consultation with a qualified
board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Robert M. Tornambe, MD · Answer

Abby.   First off, your breasts are not that bad!!! Yes there is modest ptosis with slight asymmetry and they are somewhat wide apart, but their overall shape is quite pleasing! You need to look at the big picture with regards to breast augmentation. If your only desire is trying to get your breasts closer together, then breast augmentation may not be for you. However, if you desire to increase their size and plump up their shape, then you should consider it. Check out the link below for a more comprehensive description of the breast augmentation process. As always, Be sure to consult with a board certified plastic surgeon. Good luck!

Christian Subbio, MD · Answer

You are already ahead of the game by understanding your anatomy and potential limitations. Yes, the space is slightly wider than average, but that does not mean the distance cannot be narrowed. It can be narrowed to a degree using wide implants and making sure the pocket is dissected towards the center, to a limit. The key here is selecting a surgeon with experience and training that we will dissect the pocket and implant wide enough, but not go so far as to release the muscle, and risk symmastia. Do your research and find a skilled surgeon.Best of luck!

Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

Robert Cohen, MD · Answer

While you do have some ptosis and wider spacing than average, I don't think your breasts look nearly as bad or surgically challenging as you think they do.  It is not safe to release the medial pectoralis muscle off the sternum, but a properly sized implant that fits your ideal base width would make your breasts look closer together.  I feel like you will probably need some kind of mastopexy to address the asymmetry and drooping.  The other technique that can help improve spacing is fat grafting.  When the natural anatomy doesn't allow placement of implants as close together as desired, fat can be harvested from another area (like the love handles) and injected in the cleavage area to provide more fullness and improve the spacing.  I'm not sure you would even need this approach (without examining you), but I will include a link to one of my cases that shows how much this combination of techniques can improve a patient's cleavage area.  Best of luck!

Steven Wallach, MD · Answer

You may need a bit of a lift to raise them up. Your cleavage will be limited by your anatomy as well. Best to be seen in person. You can get a nice result.

Nicholas Tarola, MD · Answer

Thank you for your questions.  You have normal appearing breasts.  There is slight asymmetry with one being a touch more droopy than the other, and they are slight wide set.  The distance between your breasts will be somewhat decreased following the augmentation, but not significantly.  You will also likely need a small lift at least on the more droopy side.  To be sure, consult with one or more board certified plastic surgeons to discuss your options.  When you look at before and after photos, be sure to look at women who have a similar preop appearance as you have so that you can know to expect.  Best wishes!

John S. Alspaugh, MD, FACS · Answer

If implants are placed beneath the pectorals muscle, as they usually are done in  this country, the position of the attachment of the muscle to the sternum will limit how close the implants can be to one another. Placing implants above the muscle can avoid this. Choosing the correct implant to reduce the negative aspect of implants above the muscle is important. Discuss this with a booard certified Plastic Surgeon.

Breasts augmentation with wide spaced breasts?

Answers (14)

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