Could this big gap between my implants be fixed? (Photo)

Question

I had 380 cc ultra high profile implants put in in September 2023. I mentioned to my surgeon not wanting a huge gap but unfortunately I now have a huge gap. They fall to the side when I lay down and cleavage is impossible, even with a push up bra. Could different implants improve the look? Posting my before pics as well. My pregnant and breastfeeding boobs had no gap so I don’t know why I have the gap now

Gianfranco Frojo, MD · Answer

You may potentially benefit from tightening the pocket laterally and below. This would be done with releasing the pocket superiorly (capsulotomies) to permit placement of a more moderate profile but slightly larger implant. I would recommend performing thermal and suture capsulorrhaphies (tightening the internal pocket with heat and sutures). This would then be reinforced with some type of mesh or scaffold to provide extra strength for implant support. This would be a challenging case and needs to be tackled by an American Board of Plastic Surgery certified surgeon with extensive experience in revisionary breast surgery.

Matthew S. Kilgo, MD · Answer

Hello and thank you for your question.Based on your pre- operative photos , you had a fairly wide iintermammary distance, ( width of the breast gap) prior to your procedure. It is very difficult to change this dimension with implants. Attempts to create cleavage with an implant can lead to unwanted complications, most notably symmastia, which is very difficult to correct. My suggestion would be to consider a lower profile implant in addition to fat grafting along the inner portions of your breasts to increase fullness in those areas. I would recommend finding a surgeon certified by the American Board of Plastic Surgery who has extensive experience and revision breast surgery. I hope this helps. Good luck.

Gary M. Horndeski, MD · Answer

At this time, I recommend a circumareola approach to reposition the nipple-areola complexes more medial and you will need plication of the pockets laterally and inferiorly.  You also need lower profile implants placed that will fill the gap and improve your cleavage.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Exuberant446775,
many women seek improved cleavage. Narrowing the cleavage plane can be done very carefully by a skilled surgeon. Moving the implants too far medially can result in synmastia or unaboob which is very difficult to correct. That being said, the right amount of pocket dissection and implant selection can create excellent cleavage. 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

Ira H. Rex lll, MD · Answer

The width of your cleavage is mostly determined by your own anatomy and how your tissues are put together.  If your implants are under the muscle, this definitely determines width of the gap.  The gap cannot always be managed precisely because of many factors.  It seems you have and excellent result!  Hope you enjoy it.

Could this big gap between my implants be fixed? (Photo)

Answers (9)

Answer: Cleavage

Answer: Cleavage

Answer: A wide cleavage

Answer: A wide cleavage

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Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

Could this big gap between my implants be fixed? (Photo)

Answers (9)

Answer: Cleavage

Answer: Cleavage

Answer: A wide cleavage

Answer: A wide cleavage

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.