What Causes Nipples to Be Close Together After Breast Augmentation? (photo)

Positioning of th implants in the pocket below the nipples does change the relationship of the nipple areolar complex and the breast. In the patient on the right the implants are moved to the outside making the nipples look inwards. This can be corrected by moving the implants more inwards and upwards.

The  nipples  are close together because the implants are displaced too laterally and too low.this may be as a result of an excessively large pocket created during surgery or subsequent migration of the implant

In these cases I often use an adjustable breast implant combined with internal mesh support

The mesh holds the implant in position .The implant is then slowly filled after surgery under controlled conditions  to assure that the implant remains in the desired position

Thank you for the question.

During breast augmentation surgery, a breast implant “pocket” is dissected. Care must be taken during the dissection to make sure that the breast implant sits on the patient's chest wall such that the nipple/areola complexes are centered on the breast mounds.

If the breast implant  sits relatively to the side (laterally), the nipple/areola complexes may appear to be pointing inward and or appear to be too close to one another relative to the position of the breasts.

Conversely, if the breast implant pockets are too close to the midline of the chest, the nipple/areola complexes may appear to point outward.

 I hope this helps.