Going through nipple for wide set breasts? (Yes, of course I will be going for in person consultations!) (Photo)

The location of the incision to place an implant does not change the spacing of your breast. We cannot move the breasts from side to side, but it actually looks as if you have some good cleavage albeit your left breast is a little bit more lateral to the right breast.

I would place an implant through an infra-mammary incision as this incision location has the lowest rate of infection, bleeding and capsular contracture after surgery.

I would make sure the pocket is carefully designed so it can maximize your cleavage to make your breasts look as close as they can. I would advise against making an incision in the armpit, or in the breast, as both of these have higher risks of complication and don't have any effect on how you will ultimately look as that is based on the pocket design rather than the location of the incision.

Generally speaking, the implants need to be centred behind the nipples regardless of whether they are placed via the periareolar, inframammary fold, or other. If they aren’t, your nipples may end up pointing off to the side and look odd. While implants may increase your cleavage, they can only do so much. It would be best to speak with your surgeon to find out how much cleavage you can expect.

Hi. In general, the ability to create cleavage with breast augmentation is dependent on the existing distance between the breasts. The access incision ( infra mammary, peri areolar or axillary) is less important. The medial border of the breast should be preserved when placing the implant to avoid symmastia. Cleavage can be enhanced by the addition of fat grafting to the procedure. I hope this helps.