Is It Possible to Fix Breasts Which Are Too Far Apart?

When determining how close or far apart a patients breasts will be after augmentation, it all depends on their own anatomy.  Some women have naturally larger spaces between their breasts, and there is not alot that can be safely done to move them closer. Without examining you it is hard to say, but I wouldbe very cautious of any surgeon who says that they can just cut more inside to move them closer.  This can lead to symmastia ( where the implants actually lift up the tissues and touch underneath in the midline) and is very difficult to correct.  I hope this helps.

Post-operative cleavage will always be determined by the natural distance that exists between the inner edges of a woman's breasts and the distance between her nipples. When performing breast augmentation, although the implants can be cheated closer together a small amount, they still must be centred more or less beneath the nipples. Placing them elsewhere will lead to an unnatural appearance. This means that patients will have cleavage similar to their natural state even after their augmentation results become visible. Your breasts look great and natural as they are.

Breast that are too apart is a common complaint of women with sub muscular augmentations. This is one of the reasons I almost exclusively use a subfascialmplane when performing breast augmentation. I use a personal technique called 'cold-subfascial augmentation'. That allows me to create natural appearing teardrop breasts with natural cleavage. Placing implants under the muscle ensures a spreading due to the muscular forces. I hope this helps. All thE best, Rian A. Maercks M.D.

I would state that I do not think your implants because if you do, you risk the implant pockets communicating and creating the dreaded Uniboob or condition called Synmastia or webbin of the skin.

Hello,

  Cleavage is mostly created by a bra and the breasts should not naturally touch.  Your breast implants are well positioned and have a natural fingerbreadth space between them.  If you desire  more fullness medially(to create more cleavage easily in a bra) you may opt for larger implants which can enhance this region. Also fat injection can be performed medially to enhance the soft tissues without replacing the implants. 

Some women naturally have more soft tissues medially and so the breasts appear to have more cleavage even without a bra.  More often heavier set women have widened breasts that fall closer, but they often suffer less desired droopiness and skin laxity.

Regards,

           Dr. Pedy Ganchi

Village Plastic Surgery

      

Thanks for sharing your picture. The implant location is limited by your natural body shape. The medial (inside ) edge of your implants are already touching your sternal (breast )bone. If you try to fix this, it will result in a medical condition which we likely refer to as Symmastia as a result of the connectivity between the breast implant pocket. Discuss more about this with your surgeon.

Cleavage depends primarily on your natural breast shape. If your breasts are naturally spaced far apart, then you'll continue to have this after surgery. Based on your photos, it looks like you results look pretty natural, which means the implants were placed properly. If you want to get a revision, please talk to your surgeon about your desired expectations before surgery to see if they can be achieved.

The horizontal position of breast implants also requires a great deal of attention, both in pre-operative planning and in the operating room. Excessive lateral dissection of the implant pockets will result in augmented breasts with an excessively wide space between them in the cleavage area, and the appearance that the breasts are abnormally far apart. The result may (or may not) be tolerable in the upright standing or sitting position, but when the patient lays down in supine position (on one's back) the implants may fall far to the side and produce little to no anterior breast projection in this position. Patients with the problem almost always want it corrected, and the treatment once again is surgical: a lateral repair of the implant space, to restrain the implants from falling off to the side.

Inadequate lateral dissection, on the other hand, will result in an augmentation with an abnormal 'side by side' appearance. It is lateral projection of the breasts beyond the lateral border of the chest wall (in frontal view) that, along with the concavity of the waist profile and the convexity of the hip profile, produces the appearance of an 'hourglass figure'. While one does not want to over dissect the lateral extent of an implant pocket, careful attention must also be paid to ensure that lateral breast projection is not inadequate.

Breast implant base diameter is also of crucial importance. The base diameter (the side-to-side dimension of the implant) must be ideal for the existing horizontal dimension of the breasts preoperatively, as well as the breadth of the anterior chest in general. Obviously, a given implant volume and base diameter that works well for a small-framed patient that is 5'3" will be completely inadequate for a broad-chested patient who is 5'10". One wants to increase cleavage area fullness and lateral breast projection in most cases, and an implant of inadequate base diameter may accomplish only one of those goals, while too wide an implant will be overprojecting in both directions. Careful evaluation of all of these breast and implant dimension issues is necessary if the ultimate goal of the surgery is a natural-appearing breast augmentation.

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Thank you for the question pictures.

Based on your pictures,  I do not believe the implants should be placed any closer to the midline of the chest. Attempting to do so would expose you to a significant risk of implant malposition/symmastia.  If anything, your nipple areola complexes are already somewhat off-center suggesting that the breast implants have been placed as medially as possible (maybe even too much).

Best wishes.

Based on your photos, it looks like you have a pretty natural look and that your cleavage issues are due to inability to find the right bra coupled with a volume that might be less than you might like ideally. The cleavage area is determined by the breastbone width, chest wall shape, and volume of the medial (closest to the midline) portion of the brest volume. The main risk of revision in your case, as has been said by others here, would be symmastia, where the breasts would merge in the middle. That actually produces a worse cleavage appearance, because the groove between the two breasts is less well defined.

I would recommend you sit down with 2-3 board certified plastic surgeons to discuss your questions. Perhaps a slightly larger implant volume with very judicious release of the lower part of your muscle near the breastbone might give you a more satisfactory cleavage, but so might the right wonderbra.