Natural breasts very close together - how to separate?

Question

I have natural breasts and they are very close together. I can't even fit a piece of paper between them. Can anything be done to separate them?

Jerome Edelstein, MD · Answer

Hello,Thank you for your question. As others have stated, photos or an exam would be helpful to provide specific feedback. You may have a degree of synmastia which could possibly be addressed with midline liposuction. If your breasts are large then reducing their size could help reduce the cleavage. I recommend that you book a consultation with a board certified Plastic Surgeon. They will examine you and discuss your aesthetic goals, then make recommendations.All the best

Kenneth Hughes, MD · Answer

Depending upon the size of the breasts and the desire for augmentation, implants may be an appropriate step with or without liposuction of the midline chest.

Christian Subbio, MD · Answer

I would resubmit your question with a photograph, as it is difficult to give good advice without being able to see the condition.  Even better, schedule a consultation with a board certified plastic surgeon.Best of luck!
Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA

Ram Kalus, MD, FACS · Answer

My colleagues have correctly pointed out that specific advice can only be provided during an in-person consultation with an experienced board certified or board eligible plastic surgeon whose aesthetics seem to align with those of your own. In theory, a mastopexy will tighten your breasts and potentially widen the distance between them. A properly selected breast implant with a relatively narrow base diameter and more projection may play a role. Best of luck to you.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Unfortunately without an in-person examination or full series of photographs it is difficult to offer definite advice.  Some patients have congenital synmastia which can be treated with some conservative liposuction over the breast bone region.  See an ASPS board certified plastic surgeon in consultation to discuss.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  The answer to this really depends on the degree of ptosis or breast sagging.  There are several options and the best treatment will depend on your breast anatomy.  I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Christopher J. Davidson, MD, FACS · Answer

Thank you for your question.  My strong advice is to seek an in-person examination with a board certified plastic surgeon.  You might be a candidate for a breast reduction should you wish to consider less volume or a breast lift if breast sag is a concern.  Good luck.

Reza Momeni, MD, FACS · Answer

Without photos, it's hard to give you any real answers, but if the breasts are large, then then breast reduction can help, and sometime liposuction can help also.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search.

Steven Wallach, MD · Answer

You would have to be seen in person. Some patients do have very close breasts and this is a variant of normal.

Stefan Rene Adair, MD · Answer

Photos and consultation with a board certified plastic surgeon are your first steps. While most patients are trying to get more cleavage, your stated concern seems to be the opposite. Congenital symmastia may a factor, for which there are surgical options, but no accurate diagnosis can be given prior to a consult. Best of luck.

Natural breasts very close together - how to separate?

Answers (11)

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