Why is my breast gap so large? How can this be improved? (Photos)

Unfortunately, you have not provided your before photographs. It may have been your breasts were widely separated to begin with. Adding implants made the situation worse. At this time, I recommend explantation with breast lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

This problem is very likely due to your existing anatomy, at least based on these photos. Even with your preoperative photos available, it would be difficult to find exact set of reasons without in person evaluation. Significant correction can be achieved with fat grafting medial and upper aspect of both breasts. You will need in person consultation with a board certified plastic surgeon with experience in this technique. Good luck.

Thank you for your question. A large portion of my practice is dedicated to revisionary breast surgery. The term internal bra refers to capsulorrhaphy or suturing of the pocket. I wrote the very first paper on this in 1999. I perform this surgery multiple times per week. Generally, this is a straightforward procedure that should lead to long lasting results. There are many plastic surgeons are not well versed in performing the capsulorrhaphy correctly, and these are prone to failing. Make sure that you interview multiple surgeons who have considerable experience in breast revision. Best wishes to you.

Space between breasts (cleavage) depends on your anatomy, unfortunately, wide space can be filled in to a degree with implants, but will not touch without breast distortion to the sides.

Implants can descend lower as they settle, taking away from the cleavage area. This can be restored by revision surgery, reinforcing the fold thereby raising the implants higher and filling in cleavage area as they were initially. In some cases, mesh may be indicated for better, longer support.

An exam and consultation with your/a plastic surgeon is recommended to discuss your options and expectations.

It is important for patients to understand that augmentation will "augment" all aspects of your anatomy. The spacing of the footprints of the breast on the chest wall will vary from one individual to the next. Widely spaced breast will appear more widely spaced and vice versa.
The spacing (cleavage) is defined by the pocket. The pocket is defined by the plane of augmentation.When placed submuscular, the medial/middle limit is the sternal origin of the muscle. Wide sternum greater separation of the breasts less dramatic cleavage. This space can be narrowed (with some risk of synmastia) when the devices are placed subglandular or "over" the muscle. There is no muscle obstructing a medial push, however, there is a higher risk of over-dissection and midline migration of the implant (the dreaded "uni-boob").
With regards to your specific question, a higher profile device is narrower but will project more. A wider device can create the illusion of closer spacing between the breasts (when placed subglandular). Most patients will fit into the "moderate +" category...but this will depend upon the measurements of your breast width. That being said, it is never recommended that you stray far from your unique BWD.
And remember...love the look you choose...not the cup you desire.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Dear Glorious67130,

I get this problem all of the time. Typically, its from women who went with high profile implants. This is a problem because while they project more, they are narrow at the base and can have widening effect on cleavage. The second most common problem is incomplete release of the pectoralis muscle medially. Many surgeons don't take the time to make this right. If you're not happy with your results I would suggest you to discuss it with your plastic surgeon.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

From the photos it appears you have naturally wide set breasts with a narrow base. Your anatomy will limit how closely the implants can be placed so greatly reducing the space between the breasts is not likely. You can visit with another board certified plastic surgeon near you to discuss the contour that concerns you. A revision would be needed to change the overall result.