My boobs look too wide apart (Photos)

Question

I had 700cc high profile silicone. I'm 10 days post op. 5'2 and 120lbs. I'm worried as my boobs look far apart and low. I'm wondering will that change? I just want perky boobs with cleavage!

Adam Tattelbaum, MD · Answer

Thank you for your question and for your photographs.  In general in the case of submuscular augmentation.  Most doctors will place the implants this close to the midline as possible.  Generally , we will not violate the insertion of the pectoral muscle on the sternum.  If the muscle is elevated the implants can, come too close together and cause breadloafing.  Over time, the force of the muscles pushes the implants out under the arms.  So when you lay back the implants tend to go to the side.  Natural breasts do this as well.  From your photos, with these exceptionally large implants, it looks like your surgeon did a good job of bringing them as close together as possible without giving you synmastia.  Cleavage, will still require a strong and supportive push up bra with these large implants. It's important to wear a bra with the size implants because gravity will win eventually.   Best wishes.  Hope this makes sense.

Richard Hainer, MD · Answer

Unfortunately I think that your implants are way too big for your frame.  The  sheer weight and size of the implants will continue to  weigh down your breasts creating  a more ptotic breast .  There's no way to get perky breasts with such a large implant. More than likely you needed a much smaller implant with a mastopexy.

Michael Constantin Gartner, DO · Answer

based on your pictures I don't think it's going to change. A high profile implant is a narrow implant , if you want more cleavage you may be better with a wider implant.  I would recommend you discuss it with your surgeon best of luck

William Andrade, MD · Answer

Hello, in most of the photos provided it looks like your implants are quite close together on your breasts.  If they are too close together they will look like one breast, i.e. synmastia or "uniboob".

Nelson Castillo, MD · Answer

Thank you for your question and photographs.  After placement of implants, the appearance of the breasts will change dramatically over the next several months, as the implants drop, and the overlying tissue stretches to accommodate the extra volume. As the swelling from surgery resolves, the volume within the implant will redistribute towards the lower portion of your breast achieving a more natural appearance.  As for the distance between your breasts, there is a natural anatomic limitation in how closely your breast implants can be placed, largely dictated by the width of your breastbone.  Attempts to overcome this distance will result in synmastia.  Voice your concerns to your surgeon, they can offer you the best advice.

David A. Sieber, MD, FACS · Answer

Thanks for the great question. As some of the others have stated, you have very large implants in for your frame. Because the your anatomy prevents the implants from going any  more towards the midline, they naturally tend to fall more out to the sides. Unfortunately due to the large size of your implants, they are more likely to cause problems in the future such as bottoming out. If you want more cleavage then the best solution is to wear a push up bra. Congratulations on your surgery and best of luck!~Dr. Sieber

Karol A. Gutowski, MD, FACS · Answer

Your implants are very large for your frame so they will go sideways. There is not much space to move them together without causing more problems.

Omar Fouda Neel, MD, FRCSC, FACS · Answer

Your breasts look great given it is only 10 days post-op. The cleavage and final results post breast augmentation with implants will vary according to your natural anatomy. If you breasts were wide apart before surgery, they will be similarly apart after surgery. Wait 6 months to see your final results and then discuss this with your plastic surgeon while comparing your before and after photos. Best.

Jules Walters, MD · Answer

There are limits on what can be changed post augmentation surgery.  You appear to have a great result with very large implants.  Your breasts will always be somewhat low with very large implants.  It is natural and normal for you to have more of a gap when you are lying down.  You will continue to heal and things look great for only 10 days post op. Enjoy!

Steven Wallach, MD · Answer

Cleavage is dictated by your anatomy.  If you try to forced them closer, you may develop a symmastia.

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