Breasts in Armpits, Large Gap Between? (photo)

Preoperative education is key to any plastic surgery procedure.  It doesn't necessarily look like anything is wrong with your result, it simply looks like the result that I would expect given your preoperative breast shape and the size of the implants that were used.  The shape of the ribcage and sternum impacts the final position of the implants.  If the sternum is prominent and the chest wall angles to the sides, then the implants will follow and result in a more pronounced space between the breasts.  Not much can be done about this.  Larger implants, particulary high profile saline implants, will result in some stretching of the lower pole of the breast which you have.  If you are unhappy with your surgical result you should discuss this with your surgeon.  Improvement in your breast shape would likely require removal of the implants, replacement with smaller implants (likely silicone), and  a breast lift with an anchor-type incision.  Every choice carry consequences and it is important to determine what final shape you are really looking for and make sure you convey that to your surgeon.  Good luck.

Lots of information here, sometimes revision surgery works and sometimes it makes things worse. You really need to think about how much time,money, and energy you want to put into this!

An implant is designed to add volume to the breasts, nothing more.  It is not designed to change the basic shape of the breast.  Looking at your before and after pictures, it appears that you had a fairly wide cleavage before your surgery that did not change afterwards.  This is because you have a very wide chest bone.  If you feel over that chest bone you will feel skin and bone.  I have seen patients who have come through my door where a doctor has tried to give them better cleavage by undermining the skin over the chest bone.  Only bad things result from this.  First, there is very little tissue coverage over the implant and any little ripple/wrinkle can be seen/felt in this area.  Secondly, the implant is not centered behind the nipple/areola but rather more towards the middle of the chest.  This results in the nipples pointing towards opposite walls.  For patients with a wide chest bone, I usually don't mess with trying to give them more cleavage using an implant.  That is the purpose of push-up/push-in bras. 

Now, if you lie on your back and your implants slide out into your armpits, that is a different issue.  In this case, there is not enough support for your implants laterally.  This may require a second surgery to tighten up the outside portion of the breast pocket so that the implants don't migrate outwards when you lie down.