Bony chest and a large gap between my breasts - advice?

Hello,

And thank you for the question.

In patients who have wide sternum/rib cage, placing the implant under the muscle may not achieve full cleavage in the middle because the sternum/rib cage will limit how far towards the middle the surgeon can place the implant, since the muscle attaches to the sternum.

Some patients may be a candidate for placing breast implants above the muscle which can overcome the bony chest wall deformity but implant edge may be more visible and palpable.

I would seek an in-person evaluation by the Board-Certified Plastic Surgeon, in order to discuss your goals and concerns for the best cosmetic results.

I hope this helps.
Best regards, Dr. Karanetz

Dr. Irena Karanetz
Breast Fellowship-Trained
Board Certified Plastic Surgeon

Dear Imaginative554314,
it is hard to tell for sure without an examination. Generally speaking, it is possible to improve a wide gap between breasts during surgery. 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

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

Unfortunately, you have not provided photographs. However, it may be possible to use a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Some women have breasts that sit widely apart. The bases of your breasts cannot be moved. However, lower profile implants that are wide can be used to help stretch out the pocket more medially as well as laterally.

I encourage you to visit with a few board certified plastic surgeons near you to listen to varying opinions. The width between the breasts is determined by your anatomy and cannot be changed, but sometimes surgical techniques and implant selection can give the illusion they are a little closer. Tuberous breasts often need some type of lift procedure along with implants to improve shape.

Breast augmentation results are based on three variables.
The first is the patient’s candidacy for the procedure. If the breast sit far apart, have a divergence, undesirable, diameter, or halve ptosis, then the procedure may lead to results that are less than ideal.
The second variable is the choice of implants, in regards to size type and shape
The third variable is technically placing the implants correctly under the breast, or under the pectoralis muscle
I suggest having multiple in person consultations with plastic surgeons in your community.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of the previous patient who had similar body characteristics to your own.
A sufficiently experienced plastic surgeon should ideally have hundreds of before, and after pictures to choose from, and should be able to find the previous examples of patients who had similar body has breast characteristics to your own.
Finding the right provider may require having multiple consultations.
Understanding your own candidacy, for the procedure is one of the most important variables in obtaining high satisfaction outcomes.
Patients anatomy has a great impact on their own personal candidacy for cosmetic surgery.
Este of the plastic surgeon is not only talented technically executing the procedure well, but can also make accurate assessments and deliver predictable outcomes, as well as being able to communicate what results are likely to look like.
In the hands of the right plastic surgeon, there should be very little surprises or unexpected outcomes.
Best,
Mats Hagstrom, MD