How to I fix the space between my breasts after Augmentation? (photos)

It would be best to remove the capsule in its entirety. Then, the space can be modified going mm by mm seeing what has been done and what needs to be fixed.  After the new pocket is created, a new implant should be placed in the space.  This needs to be done by someone who has vast experience in this area.  Revision surgery requires drains because the fluid is going to be generated when you operate on the scar capsule. If you provide a mechanism for the fluid to be removed (i.e. drains), the risks are lower. If the fluid accumulates because there were no drains, it will most certainly cause problems in the future.

Thank you for your pictures and questions. Once again, like with your other post, I am sorry to hear you are not happy with your results. I think that overall you have a good outcome. It would be very helpful to see your pre-op photos before commenting on the space between the breasts. I would guess that before surgery, you had a large space between the breast and nipples. When placing implants under the breast mound, if you narrow that space and put the implants closer together, you lateralize the nipples and create an odd appearance. I think that your surgeon did an adequate job of centering the implant below the nipple mound while maintaining what I suspect is a normal appearance for you compared to where you started. Best to discuss these concerns with your surgeon before considering revision surgery.Good luck!

HEALING AFTER BREAST
SURGERY, AUGMENTATION, LIFTS

1.   
pain is variable

2.   
it takes 2-3 months for implants to settle and muscles to relax

3.   
celebrex, motrin, and muscle relaxers can help

4.   
massage and stretching may help

5.   
everyone heals differently

6.   
4-7 days off from work is common

HEALING OF SENSORY NERVES: Tingling, burning or shooting pains, which will disappear
with time and should not alarm you, indicate regeneration of the sensory
nerves. If these sensations cause pain, repeated, local self-massage helps.

ASYMMETRY: The two breasts commonly heal quite differently. One
breast may swell more, feel more uncomfortable, or have a different initial
shape. After complete healing, they will be more similar and natural. You must
have patience, but if this causes concern, ask questions of the doctor or the
nursing staff.

SHAPE AND CONTOUR: The final shape of your breasts will start to look its
best approximately three (3) months after surgery. It takes time for the skin
and muscle to stretch and relax around the new implant. The breast will often
look higher, firmer, and “less natural” in the first three (3) months. It can
take up to a year to see your final result.

FOLLOW-UP EXAMS: These are generally done in 1 week, 2 to 3
weeks, 3 to 6 weeks, 3 months, 6 months to 1 year, and 1-2 year intervals. In
our office we include all of your follow up appointments in the initial
surgical fee.

While there may be a number of issues of concern following your procedure the best thing to do is visit your surgeon with any questions to make sure that healing is progressing as it should or if additional work will be needed. Best of luck to you.

It is hard to tell, based on the photographs, whether you are experiencing breast implant displacement and/or bottoming out after breast augmentation surgery.  If so, these concerns can be addressed using capsulorraphy techniques during revisionary breast surgery. You may wish to submit additional photographs, with your arms by your side, for more precise assessment/advice. Otherwise, seek consultation with board-certified plastic surgeons who can demonstrate significant experience helping patients with revisionary breast surgery.   You may find the attached link/video helpful to you as you learn more. Best wishes.

This type of problem is often caused by implants under the muscle that migrate "down and out" over time. Fixing this requires revision surgery either to close off the outer part of the implant pocket, or create a new pocket that is positioned more properly. It depends on the severity of the problem. Depending on how long your implants have been in place, and how much capsule tissue you have, implant replacement may also be necessary. Board certified plastic surgeons with experience with implant revision can best serve you.

I am sorry to that you did not get the results you were hoping for with your breast augmentation.  Your implants appear to be sitting low and too far out to the side.  If you would like to fix this then you would need a revision breast augmentation.  It will seem like every surgeon will have a different solution.  Look for a surgeon who is using Sientra implants as they implants can be placed above the muscle and therefore much closer together for you.  They can also be placed higher and will Velcro in place because they are textured so they have less likelihood of sitting low.  Finally, Sientra's gummy bear implants feel and look much more natural which it sounds like you are looking for.  Sientra only sells to select American board certified plastic surgeons so look carefully either here on RealSelf or on the Sientra surgeon finder.I hope that helps.Best regards.