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

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?

Doctor Answers 12

Breast Implants Too Far Apart

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!
Dr Guy Watts

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.  

Implants wide

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

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

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. 

Scott L. Replogle, MD
Boulder Plastic Surgeon
4.0 out of 5 stars 1 review

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.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 74 reviews

"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.

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 103 reviews

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,


Peter E. Johnson, MD
Chicago Plastic Surgeon
4.1 out of 5 stars 41 reviews

Breasts too far apart after implants - closer with time

In my opinion without you posting photos NO!  If you are already complaining about the lack of cleavage after only 2 weeks I do not see how it will improve. The causes are your anatomic chest shape or the breasts themselves in a wide appearance, or the surgeon made the pocket to laterally.

Sorry From MIAMI DR. B

Wait 4 months to assess

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.

Ronald Levine, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 23 reviews

2 weeks post op. Breast implants too wide?

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.

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 16 reviews

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.