You may want to consider fat-grafting to subtly camouflage the area of concern. Breast implants could accentuate the space and separation of areolas.
You will need to meet with a board certified Plastic Surgeon in person to be examined and discuss your goals and options.
All the best
I do not think that the issue of your sternum will be improved with an implant, even if the implant is placed above the muscle.
It seems you have what we call a "pectus excavatum". There is an extensive surgical procedure to correct this that involves conspicuous scars and I would not recommend it in a young girl. In the past we used to correct this with custom made silicone implants. However, a more modern technique to correct this would be the use of your own fat in the form of fat transfer. Of course, at 96 lbs, it is unlikely that you have enough fat for this purpose. Your plastic surgeon would probably want you to gain some weight so that there will be fat available, and you probably will need it done 2-3 times because on the average around 30% of the fat will resorb.
Fat transfer to this area (likely a couple of rounds) would provide a nice permanent correction with minimal scarring or downtime. You do need to have adequate donor sites (areas that are ideal for a little liposuction). Each session will fill and soften the contours with about 50% of the fat staying and it can be hard to know up front exactly how many times it may need to be done before you are happy. You do look quite thin (lucky girl), so finding fat may be the tough part.
The only procedure to get the breast volumes closer together would be breast augmentation either with implants or with fat grafting. At your weight the fat transfer is generally not possible. With a well done breast augment you should be able to get the gap narrowed by about half.
custom made prostheses can be manufactured to fill this area. This will however be a surgical treatment and an implant. Alternatively you may use fat injections as others have suggested.
Thank you for your question about your lower sternal shape.
- To fill in the area, you can either have fat injections or a custom made soft silicone implant.
- The fat injections will give you a nice look - but may need to be repeated from time to time.
- Always see a Board Certified Plastic Surgeon.
Best wishes. Elizabeth Morgan MD PHD FACS
The absence of significant tissue in the area between the breasts can be improved through fat transfers. Fat can be harvested in on area of your body and then concentrated and transferred as a graft to the deficient sternum. Depending upon the thickness of the existing tissue at the sternum, more than one session may be required. Some of the fat will be absorbed, but a significant amount will establish a new blood supply and "take". The fat that remains will be your own living tissue and provide a significant improvement.
Thank you for the question and photos. There are some options for improving the appearance of a wide sternum including:
- fat transfer to the cleavage area
- breast augmentation with implants
- possible breast lift/shaping
If you have excess fat elsewhere, fat transfer may be a good option. Second option would be breast augmentation with implants. Sometimes with widely spaced breats, a breast shaping procedure can be of help but I do not think that is likely to be the case for you.
All the best,
Dr Remus Repta