Breasts too far apart after augmentation, what are my options? (Photos)

Question

I had breast augmentation over a year ago and they have settled very far apart- I can place my palm in between them and they stick out to the side. I'd like to know if it's possible to get this fixed - either surgically or with certain exercises- and if there was anything I could have done to prevent it? Thank you!

Donald R. Revis Jr, MD · Answer

Good afternoon!I recommend the Original Internal Bra, my strong permanent internal suturing technique which corrects your lateral displacement, narrows your huge gap, and supports your implants over the long term. I would not recommend a vertical mastopexy- those scars are terribly ugly and you just don't need it. At the very very most I would perform a donut mastopexy if your nipple position is a little low, but a donut mastopexy hides the scars away around the border of your areola, not vertically down the front of your breast.

Gerald Minniti, MD, FACS · Answer

You will need both a capsulorrhaphy to tighten the lateral extents of the implant pockets (and possible opening of the pockets near the sternum), and fat grafting to the inner breast/sternal area.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. A large portion of my practice is dedicated to revisionary breast surgery. You have a fairly straight forward fix that I commonly perform. I would perform a lateral and inferior capsulorrhaphy (internal bra) and mirror image capsulotomy to reposition your implants much closer together and higher on your chest. In fact, I wrote the first paper on capsulorrhaphy. You would definitely need a lollipop lift as the new position of the  implants would be much higher than the current areolas. Best wishes to you.

Gary M. Horndeski, MD · Answer

The best technique would be explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained, if not injured during your previous surgery.  Later, fat transfers can be performed if additional volume is desired.  Best Wishes,Gary Horndeski, M.D.

Richard Baxter, MD · Answer

Your photos show what is called a pectus excavatum, which is a normal variation that is defined by a dip in the sternum (breastbone) between the breasts. The attachment of the muscle is farther apart than average, so the implants have to be farther apart. Fat grafting might be your best option.

Daniel Barrett, MD · Answer

Dear loyale2,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

You did not show your before photo, and may have a natural gap. However, your pockets could be tighten laterally to minimize movement to the side and fat grafting could be done to the inside of your breasts. I would suggest meeting with your surgeon to discuss your concerns and options.

Frederic H. Corbin, MD (license restricted) · Answer

Sorry for your problem but I would see my surgeon or other expert in the area (with preop photos and operative note) and get their opinion after a full examination and discussion of desired results Dr Corbin

Breasts too far apart after augmentation, what are my options? (Photos)

Answers (8)

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