Breast gap? Would my implants look this wide apart after surgery? (Photo)

I would go see a board-certified plastic surgeon (with plastic surgery residency and aesthetic fellowship training) for another 3D preoperative consultation who also uses tissue-based measurements to properly calculate the ideal implant for your breasts. I believe you might need a lower profile implant. This is hard to determine without seeing a patient in person.

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").
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 jenifferslifestyle,
wide breasts can be improved with the proper placement of implant pocket and right choice of implants. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hi. That is a very understandable concern! While part of your outcome is dependent on your anatomy and it’s important to visualize and realize that, improvements in position and symmetry can be made through careful planning and precise implementation.
Your surgeon can dissect the pocket for the breast implant to help bring them closer together, but he or she also has to be careful to avoid symmastia while doing so.

Hello, technically it is possible for a surgeon to put any patient's implants close together on the chest, but if there is a pre-existing wide gap, this might lead to problems. If there is very little tissue covering the implants in the centre of the chest, there could be increased risk of seeing and feeling the implant folds through the skin. There are different techniques that may reduce these risks. Your surgeon will be the best source of advice about the ideal breast implant placement to meet your goals.

Hello, increasing the size of the breasts with implants does not change the shape or structure of your skin, your same chest shape and the same shape and configuration of the breasts, only bigger, you must be aware of that, not all patients can get breasts very close to the midline

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Hi. First, I would definitely ask this question to your surgeon since he or she has examined you in person and can probably give you the best answer. With that being said, based on your before photographs it does look like you have a fairly wide space between the breasts in terms of both where the breast tissue is and where your chest muscle attaches to the breast bone (sternum). Also your nipples naturally sits somewhat laterally. None of this is bad, these are just normal variants of the many different sizes and shapes that people have. But based on that anatomy the implants can only come in towards the midline to a certain degree. That is limited by the muscle with a submuscular placement. Based on the small amount of tissue you have in the upper regions of the breast I would typically recommend submuscular placement for someone like yourself. Also though even if you went subglandular (above the muscle) and a surgeon tried to put the implants too close to the midline, it would almost surely overly accentuate the lateral position of the nipples and have them very far lateral in comparison to the new breast mound. The 3D imaging is probably reasonably accurate. But again, I would encourage you to have a good frank discussion with your surgeon regarding these concerns.
Good luck and take care,
Dr. Howell

For wide set breasts it is important to design the pocket with less lateral dissection and more superior medial dissection so that the implant sits more to the middle.

This is one of two reasons I no longer use simulation software. The machine cannot be trusted to give you an accurate image of how you would appear. The other is the complete lack of visualizing proportion, something that can only be done when seeing the entirety of yourself in a mirror in real time. This is why using in office sizers works better. As for the gap, it is a product of the questionable simulation software and the implant selected. For you, a highly cohesive device with maximum allowable width and appropriate pocket dissection will vastly improve your appearance.