My breast augmentation was 2 weeks ago and my breasts seem to be in my armpits. Will they settle closer over time? I was a 30A. I got 250 saline implants under the muscle. They're extremely far apart and no possibility to for cleavage. I squeeze my breasts together to fit into a bra. I want my implants out, but am told they're likely to look better over time. My gut tells me to get rid of them. What is your opinion?
Breasts Too Far Apart After Implants - Will They Get Closer with Time?
Doctor Answers 12
Breast Implants Too Far Apart
Best of luck!
Dr Guy Watts
Wait 4 months to assess
2 weeks post op. Breast implants too wide?
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Revision Should Be Delayed
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.
Cleavage depends on your natural breast positioning
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.
I doubt that the implants if they are wide now will improve but the swelling will go down and the tissue will soften.
Implants too far apart
The short answer is that if the implants were not sized and placed in the proper position they are not going to move or heal into the proper position. As was pointed out in other answers, the implant does not move the breast but must be placed like a pillow behind it and properly centered relative to the nipple and inframammary crease. If the breasts were "too far apart" before the procedure, they will not be moved to the proper position by an implant. If the breasts are in the proper position and the implants are too far lateral, then the breasts will look farther apart but the problem is the implant.
I would agree with Dr. Rand that at least 3 months are needed to let things settle and then consider a revision if the implant is not placed properly. It is very difficult to correct implants that are healed too far laterally. The simplest solution is much wider implants with space opened on the medial side but this has to be weighed against the overall increased size of the resulting breast.
Wide nipples prior to surgery equals widely spaced breasts after surgery
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.
"Breasts SEEM to be in my armpits"
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.
After breast augmentation, unlikely to have breasts move closer over time
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,
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.