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.