Can Breast Implants Be Placed to Make my Breasts Look Closer Together?

Breast implants should be centered on the nipple-areolar complex. If they are placed too far to the center, the breasts will appear off-center.
Simply placing larger implants creates problems as well. The muscle in the center of the chest on the breastbone (sternum) must be detached in many patients to allow the implants to go more to the center. This can cause the chest muscle (pectoralis) to contract in an unusual fashion. It is also irreversible.
We advise our patients not to go too large with their breast implants.
Patients who have very large implants are at much higher risk for needing multiple redo surgeries, for having rapid sagging of the breasts, and stretch marks.

Thank you for your question.  A patients pre-operative anatomy and intramammary distance will largely dictate the amount of cleavage that a patient can reasonably expect to achieve post-op.  Breast implants are placed with the nipple-aerolar complex as the center point.  If placed, using any other landmark as the center point, a patient's implants will appear off-centered and unnatural.  Some patients, like yourself, will ask whether a larger diameter or wider implant would help to achieve more cleavage if they have wide set breasts, but I believe that in most cases this is a mistake unless a patients anatomy deems that diameter implant appropriate.  Placing too wide of an implant can cause symmastia, or a 'uniboob,' and is a post-op complication that is very difficult to successfully correct.  Unfortunately, you cannot successfully change the height of a patients breast or the width of a patients breast or where the breast sits on a patients chest with a breast implant.  While sometimes implants will help to make things appear closer together or lifted, this is not always the reality and should be thoroughly discussed pre-operatively and at the time of a consultation.  I would recommend following up with your operating surgeon to discuss your concerns and any options that may be available to you.  Best of luck!

The vast
majority of patients who undergo breast augmentation consider cleavage to be an
important component of an aesthetically attractive breast.Unfortunately, patients sometimes present
with anatomic constraints that limit how much cleavage can be obtained with
this procedure.When patients have
laterally sloping chest walls and laterally positioned nipple areolar
complexes, cleavage isn’t always possible.Efforts to create cleavage by moving implants in an unusual direction
can often result in secondary deformities.Without pictures or a physical
examination, it’s virtually impossible to make a specific recommendation in
your case.For these reasons, efforts to
move your implants in a medial direction or efforts to increase the size of
your implants with additional surgery aren’t indicated and could have negative
consequences.It’s important to discuss
these issues with your plastic surgeon.Your surgeon should be able to address your concerns.

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.  

The implants have to be centered under your breast and must have the same width as your breast. If the pockets are made too close to one another in an effort to create cleavage, the implants can touch one another, creating symmastia. This is very unnatural and difficult to correct.
Unfortunately, if your breasts are naturally spaced more widely apart than you would like, achieving better cleavage may not be possible.
Having said that, high profile implants have a narrower base diameter than other implants, so if your breast width can allow for placement of a wider implant, this may help.
Good Luck!

Your baseline cleavage, or inversely, the degree of breast separation, is a major determinant to the degree of cleavage achievable postoperatively. The surgeon can dissect closer to the midline but must be cognizant of overly thinning the tissues and potentially creating symmastia ("unibreast"), a very difficult problem to correct.
Your hi-profile implants are the narrowest of the three profiles (hi, moderate plus and moderate), therefore less likely to yield cleavage. Yes, you could consider revision with more dissection toward the midline and placement of a wider- based implant.
You should discuss your concerns with your surgeon.

The amount of cleavage obtained after breast augmentation is primarily determined by these three factors:

Volume of implant
Base diameter of the implant (how wide the implants are)
Position of the nipple relative to the middle of your chest
Subglandular or submuscular placement of implants.

Plastic surgeons can do little to change the distance of the nipple from the midline of your chest. During a breast augmentation, the implant is placed in a pocket that lies below the nipple. If the nipple is positioned very far to the sides, the implants will be positioned laterally, thus resulting in less cleavage. The wider the implant that is placed, the better the cleavage.
There are limits to how wide of an implant we can place as the wider we go, the more implant there will be on the sides of your chest.
Its important to measure these distances before you undergo breast augmentation. Discuss the position of your nipples and the placement of the implants. An experienced plastic surgeon can usually predict the amount of cleavage you will obtain based on these numbers. The more you discuss before surgery, the better.

There are a couple of things to consider in order to get the cleavage right:

Most important I think is base diameter, so that there is the optimal space between the breasts while centering the implants in the natural foundation of the breast. With the right implant dimensions, some improvement can be acheived while still keeping the implants under the muscle.

The other issue is cohesive implants, which are shaped rather than round, and firmer than other silicone implants (which are also "cohesive" but softer). Because the round implants are not as stiff, they will move together more with pushup bras and bikini tops.

The implant is ideally positioned so the inner edge of it is still underneath your own breast tissue. So if you press your breasts together, you will see where your breast tissue ends and that is as close to the center that the implant can be placed. If the surgeon places the implant closer to the center to create more cleavage, and there is no breast tissue covering it, you will most likely see the edge of the implant-not attractive. If the implant is sliding off to the outside and is not underneath your breast in the center, this can be changed. Many patients have a wide space between their breasts and thus have the same issue that you do. Hope this helps.

In Breast Augmentation surgery the implants are positioned under the breast central mound. If you try to create a cleavage with implants then you have to put a wide implant under the skin covering the sternum, This skin is thin and can loose attachment to the sternum under the tension of the implants creating symmastia.
I tell my patients if you have cleavage before surgery, you will have cleavage after surgery. If you do not have cleavage before surgery you will not have cleavage after surgery