Breast Augmentation Redo to Bring Breasts Closer Together?

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 patients may have.Your
pictures suggest several areas of concern.These include a lateral sloping chest wall, lateral displacement of your
breast tissue and laterally positioned breast implants.Although,
you might benefit from medial re-positioning of your breast implants, 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. It’s also important to realize that underlying chest well
abnormalities can impose limitations on your final result as well.Under
these circumstances, re-positioning your breast implant would significantly
improve your aesthetic result. Unfortunately, the amount of cleavage would be
limited by the lateral position of the breasts and the shape of the underlying
chest wall.If
you’re considering revisional breast surgery it’s important to consult a board
certified plastic surgeon. This surgeon
should be able to formulate a treatment plan that addresses your anatomic
findings and achieves your aesthetic goals.

Ms. JKimmel,
Sometimes women can have reshaping of the internal aspects of the pocket (capsule) and/ or a wider implant can be used. What is important is to try to place the implant so that the nipple-areolar complex is centered on the implant. If you have widely spaced nipple-areoar complexes due to a rounded chest shape it would throw off the relationship between the implant and the nipple-areolar complex if the implants are placed closer together. It may not be possible to increase the fullness in the cleavage area in theses cases.
I hope this helps.
Dr. ES

You can definitely have an improvement. However, one needs to be careful not to over do it as you have mentioned is that your nipples are far apart.
The key is to center the implant just under your nipple and areola complex. So yes the implants need to be moved over a bit by a capsulorrhaphy and center under your NAC, but they will still be some what far, closer than they are now and better looking but still you will not have a lot of cleavage, and that is secondary to your anatomy.
Hope that helps.

Hi there-

There is no question that your result could be improved. I would visit with a few Board Certified Plastic Surgeons, discuss your goals, review photos of their work in situations like yours, listen to their plan to correct this problem for you, and decide based on your understanding of their ability to achieve your goals.

I am not a believer that your nipple position would limit your outcome, but do agree with Dr. Rand that form the photo you posted it looks like you need significant pocket corrections to be made, with a broader base diameter implant.

Need help finding a surgeon? Please read this:

As Dr. Aldea and Rand have stated, you can obtain an improvement. I have also found that many patients develop this appearance after pectoralis strengthening exercises that displace the implants to the outside of the chest. following repair I frequently advise patients to avoid these activities such as wide stance push ups, bench press, and butterflies or the "pec deck." In the past, textured implants were used to keep the implants in place but these are not popular in the US. Essentially you would benefit, in my opinion, from silicone moderate plus profile implants with medial capsulotomy and lateral capsulorrhaphy.