How to Fix Sagging, Far Apart Breasts?

Mastopexy is a procedure to move the nipple areola to a normal position, reduce the areolar size to a youthful diameter, remove and even up sagging tissue, and create a fuller more youthful shape to the breast mound. it can often be done without an implant as long as you understand that you will be slightly smaller after the surgery and not have as much cleavage and upper pole fullness as women that choose an implant. Look at lots of picture of before/after of women with and without implants and decide what is right for you. Good Luck!!

The breast lift is a great choice for you.  The breast lift operation allows for correction of asymmetry from left to right. In fact it is a very powerful operation in this regard.  It can be used to shape and position the breasts in a way that should give you a very nice result.

You are a great candidate for a breast lift.  The areolas would be moved higher and closer to your midline to achieve a more ideal shape.

Your particular shape of breast are difficult to fix.  First you need a lift/reduction.  That will improve the overall shape of your breasts.  In doing so the breast will look closer and more balanced.  Otherwise there is no perfect solution.  

         Lateral displacement
of the breast and nipple areola complex can be caused by a variety of factors.
This problem can adversely impact breast aesthetics and create difficulty
wearing under garments.

 

         Your pictures suggest
that your lateral nipple areola position is primarily related to the shape of
your underlying chest wall. This type of deformity can’t be fixed without major
surgical intervention.

 

         In your case, your
breasts are literally falling off your chest to the side. This is being
accentuated by your breast sag, as they can drift even further to the side.

 

         Under these
circumstances, a breast lift will not only lift the breasts in an upward
direction, but will also move the nipple areola in an inward direction as well.
This is because the breast axis is related to the chest wall slope.

 

         This maneuver will
improve the position of your breasts, but won’t totally correct the problem.
It’s important to realize that gravity is an unrelenting force and there’s significant
potential for recurrence of breast sag. If you’re considering correction of
this problem, consultation with a board certified plastic surgeon is
appropriate. 

Thank you for the photos. It seems as though you would benefit from a lift. If the desire is for upper pole fullness, the usual way to do that is with an implant. The implant does not necessarily have to be large. If you need or want volume, then a larger implant will help. Nipple/areola positioning is a different matter and may necessitate more work, (i.e.; a lift). Discuss your goals with the board certified plastic surgeon and make sure they are reasonable. Together you will come up with a plan.

Thank you for your question been for your photographs.  From your pictures it appears that you have a tuberous breast deformity. Basically this means that the breasts are drooping and that the fold of your breast is quite high.  Full breast lift or mastopexy is used to elevate the nipples and reshape the breast.  Unfortunately, there is no easy way to narrow the sternal space.  Some patients have a wider sternum and some patients having narrower sternum.  Implants would likely not solve the issue because they would need to be placed under the breast tissue.  If they are placed too close to the midline it would make the breast look even farther apart. I would suggest you consider a breast lift first and then consider augmentation if you wish to have further volume in the upper portion of the breast.  Best wishes.

There are no good procedures to completely give you cleavage but a mastopexy (breast lift) with an implant can make the appearance of this deformity much better.  Having both breast more fuller with elevation of the nipple/areolar complex will give the appearance of more cleavage.

Great question and the photo helps. Your problem is not a rare one and likely has been present since puberty. It appears you have some breast sagging or ptosis with mild constriction. This can be corrected with a breast lift which will leave you with higher nipples though your shape may not be acceptable, therefore you may consider an implant at the time of the lift or in a staged fashion.
A silicone implant may feel more natural considering you may have some lower breast thinning to completely expand your breast. Sometimes an expandable implant is utilized in these case as well.

Hi there-
I always caution women strongly against the idea that there are "cookie-cutter" procedures that can be applied to give the result you want.
Achieving a beautiful, safe, and long lasting outcome from ANY plastic surgery procedure is about finding a quality surgeon with a lot of experience, expressing your goals to them, undergoing an examination, and reviewing options with them....
I do think that you have excellent options for achieving lovely breasts that are better centered on your body, but also think it would be a bit unfair to your eventual surgeon to explain how I would do it, since it might be different than what they recommend....
The best advice I can give you is to NOT spend any more time or energy finding the operation you think you want or need, and that you spend ALL your time and energy finding the well-trained, responsible, and experienced surgeon who can give you the outcome you desire.
How best to find one you like and can trust? Read this: