Breasts Too Far Apart After Implants - Will They Get Closer with Time?

Excessive #space #between the breasts is a very common reason many seek breast implant revision surgery. During the initial breast augmentation, a #pocket is created carefully to maintain certain folds on the sides and bottom of the breast. Occasionally, the space for the breast implant becomes too large on the #side of the chest or the tissue #stretches and the implants fall too much to the side. This is most easily seen when the patient is lying on her back. Other times, the space is a result of too narrow or too small of an implant for the patient's build.
It's difficult to suggest solutions here without knowledge of the #surgical #techniques applied. Nor without before and after #photographs. Also, it's best to wait 6 to 12 months depending on the reason for #revision.
Nevertheless, the best #option for #revising should be discussed during a one-on-one consultation with a board-certified plastic surgeon. Deciding on additional #elective cosmetic #surgery is a personal #choice. Your procedures should always be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.Excessive #space #between the breasts is a very common reason many seek breast implant revision surgery. During the initial breast augmentation, a #pocket is created carefully to maintain certain folds on the sides and bottom of the breast. Occasionally, the space for the breast implant becomes too large on the #side of the chest or the tissue #stretches and the implants fall too much to the side. This is most easily seen when the patient is lying on her back. Other times, the space is a result of too narrow or too small of an implant for the patient's build.
It's difficult to suggest solutions here without knowledge of the #surgical #techniques applied. Nor without before and after #photographs.
Nevertheless, the best #option for #revising should be discussed during a one-on-one consultation with a board-certified plastic surgeon. Deciding on additional #elective cosmetic #surgery is a personal #choice. Your procedures should always be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Hard to say anything without a photo.  You are too early post op to make any definitive statements.  Most of the time the goal is to have a 2 to 4 cm space between the breasts. This can vary from patient to patient. A board certified plastic surgeon can make the distance smaller. If too small there is a risk of symmastia. Each patient's chest wall and soft tissue is different. There is an interaction between the chest wall, soft tissue and the implant itself. This can drive the implants apart at times. Cleavage comes from bras that push together the upper pole.  Make sure you tell al of your concerns to your board certified plastic surgeon. It is okay to ask questions.

The vast majority
of patients who have poor cleavage have widely spaced nipple areola
complexes.Many of these patients also
have laterally sloping chest walls.Under these circumstances, it’s almost impossible to obtain cleavage
with a breast augmentation procedure.Attempts to move the implants in an
inward direction can result in secondary deformities.In some cases, this might result in the
nipple areola complex setting on the lateral breast surface.In this situation, it’s virtually
impossible to make a recommendation without pre- and postoperative pictures and
a physical examination.If there is a
correctable problem, revisional surgery should be delayed for three to six
months.At this time, it would be easier
to make aesthetic judgments, as well.It’s important to maintain good
communication with your plastic surgeon.Your surgeon should be able to address your concerns and formulate an
appropriate treatment plan, if this should prove necessary.

It is difficult to make an assessment without images. If the implants are centred on the nipples then they are likely in the correct position. Ultimately the positioning of the implants is dictated by your nipple and breast position on the chest wall prior to surgery. If they are have migrated towards the armpits you should review with your plastic surgeon. Best of luck!RegardsDr Guy Watts

Post-operative cleavage will depend on your pre-surgery cleavage. You have wide-set breasts, which means you'll probably continue to have wide-set breasts after surgery. However, while you may have a bit of improvement, it may not be as much as you want. Unfortunately, your surgeon can only do so much to give you cleavage before it looks abnormal, since the implants have to remain centred underneath your nipples.  

In many instances this is a reflection of the appearance of the breasts prior to surgery. It reflects widely displaced nipples in an individual with a conservative breast implant that is unable to achieve sufficient "cleavage". Attempting to move the implants closer together can create a very unnatural appearance with the nipples located off the center of the implant mound.

You are early on in your recovery. Wait about 4 months before you assess your results. If at that time you still dislike their appearance, talk to your surgeon. If the breast pockets were not accurately created, the implants may not be positioned properly. This would require revision surgery.

I doubt that the implants if they are wide now will improve but the swelling will go down and the tissue will soften.

In Breast Augmentation, the implants MUST be placed under the nipples. Placing the implants too close to each other will result with sideways pointing nipples, placing them too far sideways with cross eyed nipples and loo low with "star gazing" nipples.

Some breast augmentation techniques lend themselves to implant misplacement. Using the breast fold incision especially with heavy implants, weakens the fold resulting in the implants bottoming out and nipples "star gazing". Using the through the armpit (transaxillary) incision, sometimes makes the side pocket and area leading to the armpit too wide with implants then going there.

Speak with your surgeon and wait at least 6-8 weeks before making any decisions. Things may improve by then.

If an augmentation was performed well the implant should be centered on the nipple with a good marriage between the implant and breast. They should look and feel as one. Occasionally we see individuals who will have a wider chest and broad breast bone. There is no way to position the implant closer in and have it look right. The implant should settle into the breast after augmentation as skin relaxes, however it is very unlikely that the implant will move in on the chest. The implant will stay where the surgeon put it. If the implants are indeed in your armpits and you are having trouble getting into a bra you should see another surgeon. If your breast is how you say it is then things are not quite right.

Best of luck,

peterejohnsonmd