Are my breasts too far apart and too low? Should I have a revision? (Photos)

Question

Hello! I got a breast augmentation done a little over a year ago, my doctor and I went with 350cc saline under the muscle. Although I do love my results there are a couple things I don’t love about them. I feel like I keep comparing my breast with other girls on the internet with the same size and same body shape and a lot of theirs are what I wanted. There are days where I love my breasts and there are days where I’m not happy with them. I wish I had more volume at the top of my breast around my chest area, my breasts just seem so low and more volume at the bottom and barely any at the top. Anytime I wear a low cut shirt without a bra on I see no cleavage at all until I wear a push up bra. I see other girls that got the same size and their sit up higher or I should say just have more volume at the top. I know every body is different but it’s a bummer that I have to wear a push up bra every time I want some cleavage to show. I just wish mine had more volume at the top so that if I wear a bathing suit or a shirt you can tell I have cleavage. Another thing I’m concerned about is them being too wide apart, I know I have a wider chest but anytime I lay down I can see a huge seperation on my boobs and it just look really bad. Not sure if that’s just normal? I did speak to my surgeon about my concerns and he did say that’s just my anatomy and I could go bigger but I’m not sure if I really want that. Lmk if I’m being too picky or if it’s something I could get fixed thank you!

Chet Mays, MD · Answer

Thank you for your inquiry!  We would love to meet with you to discuss your goals.  Your breast follow your ribcage and naturally sit low.  You could add some fat at the upper poles of your breast to get some more volume.  Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.

Gary M. Horndeski, MD · Answer

When implants are placed behind the muscle, they can only go so far medially otherwise they can cut the muscle and will no longer be under the muscle.  It appears your surgeon did the best he could with your anatomy and have a very good result.  If you want more medial cleavage and upper pole fullness then I recommend fat transfer, if you have a suitable donor site.  Larger implants will not make the situation any better and may in fact make it worse.

Best Wishes,

Gary Horndeski, M.D.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are lucky that you have attractive breast as they are. If you want more cleavage, then I would perform a internal bra/capsulorrhaphy procedure. I wrote the very first paper on how to do this in 1999. I have been in practice for over 30 years and revisionary breast surgery is a large part of my practice. You should be able to get exactly the shape and size that you desire. Best wishes to you.

Darryl J. Blinski, MD · Answer

Based on your nicely posted photos the limited view to the abdomen is better included to see the ratios. I would recommend a virtual consultation. My first comment is the result is excellent and your surgeon should be complimented. Your anatomy does preclude some of your issues, therefore as far as aBased on your nicely posted photos the limited view to the abdomen is better included to see the ratios. I would recommend a virtual consultation. My first comment is the result is excellent and your surgeon should be complimented. Your anatomy does preclude some of your issues, therefore as far as a pro fullness, it appears you might have at least a liter of donor fat to do fat transferred to the upper polls which be the easiest procedure to recommend than Operating and increasing the size of the implants with the potential of them still riding low. Expect that fee to range from $5000-$10,000. Best of virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

Generally speaking, there are three variables that determine breast augmentation outcomes.
The first is the patient’s candidacy for the procedure.
This includes variables like breast size, breast shape, breast position on the chest wall, breast divergence, etc., etc.,The second variable is implant selection in regards to size shape and type.
The third variable is the surgeon ability to put the implant in the correct anatomic location.
In your case, your candidacy for breast augmentation was limited based on having a small diameter breast that’s it far apart on your chest wall.
 If the surgeon places the implants centered on your nipple, then the implants need to sit far apart because that’s where your breast are.
The surgeon cannot move the breast position on the chest wall.
If the surgeon places the implants more towards the midline to create cleavage, then the implants will not be centered on your nipples, and the nipples will be off to the side to where the implant is.
Patients who have small breast and choose larger implants will have a more implant shaped looking breast.
This becomes more obvious with implants sitting far apart.
Your breast have mild divergence on the left and minimal divergence on the right. The the divergent is fairly mild, but it does show slightly on the left side, and this can become more obvious with the projection of the implant.
While it’s possible to move the implants more towards the midline, doing so will leave the implants not centered in relationship to your nipple. 
Overall, your augmentation outcome is fairly consistent with your candidacy for the procedure.
It looks like the surgeon placed the implants correctly.
The bigger the implants, the more obvious it is that the breast sit far apart on the chest wall. 
Overall, I think your augmentation was done correctly, and your outcome is simply based on your anatomic variation.
Best,
Mats Hagstrom MD

Are my breasts too far apart and too low? Should I have a revision? (Photos)

Answers (5)

Answer: When you post augmentation with wider breast in a wide chest anatomy options

Answer: When you post augmentation with wider breast in a wide chest anatomy options

Answer: What determines breast augmentation outcomes?

Answer: What determines breast augmentation outcomes?

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Everything you need to know about Breast Implant Revision

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Are my breasts too far apart and too low? Should I have a revision? (Photos)

Answers (5)

Answer: When you post augmentation with wider breast in a wide chest anatomy options

Answer: When you post augmentation with wider breast in a wide chest anatomy options

Answer: What determines breast augmentation outcomes?

Answer: What determines breast augmentation outcomes?

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.