Are my breasts too close together? How can I improve this and have more cleavage? (Photos)

Question

Is my breasts too close together. I was hoping for more cleavage. Any suggestions?

Semih Yildiz, MD, FEPOBRAS · Answer

Based on the photos, your breasts already sit quite close in the center, with a narrow space between them and visible medial fullness. More cleavage is not simply a matter of moving implants closer together; it depends on your chest wall, natural breast footprint, implant width/profile, skin envelope, and how the implant pocket was created.
Trying to push the implants too far toward the midline can weaken the central support and may increase the risk of symmastia, sometimes called a "uni-boob," which is much harder to correct than a small gap. If you feel they are too close, the opposite approach may be needed, such as evaluating the pocket and possibly tightening the medial pocket or choosing a different implant plan in revision.
For a fuller cleavage look without creating an unsafe pocket, a supportive bra, careful implant selection, or in selected cases small-volume fat grafting may help. The best next step is an in-person exam with a board-certified plastic surgeon who can assess your implant position, tissue thickness, and whether revision would improve the shape safely.

Daniel Barrett, MD · Answer

Dear Ellie2017,

breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.
Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.
While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.
If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Donovan Rosas, MD · Answer

It is important for patients to understand that augmentation will "augment" all aspects of your anatomy. The spacing of the footprints of the breast on the chest wall will vary from one individual to the next. Widely spaced breast will appear more widely spaced and vice versa. 
The spacing (cleavage) is defined by the pocket. The pocket is defined by the plane of augmentation.When placed submuscular, the medial/middle limit is the sternal origin of the muscle. Wide sternum  greater separation of the breasts  less dramatic cleavage. This space can be narrowed (with some risk of synmastia) when the devices are placed subglandular or "over" the muscle. There is no muscle obstructing a medial push, however, there is a higher risk of over-dissection and midline migration of the implant (the dreaded "uni-boob").
With regards to your specific question, a higher profile device is narrower but will project more. A wider device can create the illusion of closer spacing between the breasts (when placed subglandular). Most patients will fit into the "moderate +" category...but this will depend upon the measurements of your breast width. That being said, it is never recommended that you stray far from your unique BWD.
And remember...love the look you choose...not the cup you desire.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Mats Hagstrom, MD (license on probation) · Answer

To make a quality assessment regarding the outcome of any plastic surgery procedure we usually need to see a complete set of proper before and after pictures.
If you don’t have before, and after pictures, then ask your surgeon to forward the pictures they took.
Your implants are placed as close together as possible.
If the implants are placed any closer to each other, then the opening will connect creating synmastia aka “union”.
You do have moderate breast divergent, which means the nipples point outwards as opposed to pointing forwards. Breast divergence can’t be changed surgically.
Your implants look somewhat large.
Anytime excessively large implants are used the chance of undesirable side effects, complications and need for vision. Surgery will always go up.
I suggest you keep things the way they are and avoid revision surgery unless absolutely needed.
I don’t think you can get more cleavage with revision surgery and I would avoid attempting.
Best,
Mats Hagstrom MD

Are my breasts too close together? How can I improve this and have more cleavage? (Photos)

Answers (4)

More Breast Lift with Implants Questions

What could cause pain under right implant 2 years post op? (Photos)

Breast lift with silicone implants - what cc amount will make me a large C cup? (Photos)

Breast implant moved after 6 months - would over the muscle be better for an active weightlifter?

Breast uplift and implant - one surgery or two? (Photos)

Did my pre-op measurements justify an anchor lift, or would implants alone have been appropriate? Can this be repaired? (Photos)

Breast lift and augmentation - 210cc vs 240 cc?

WE SEND PRETTY
EMAILS