Should I bring my breast implants closer together? (Photo)

Question

I have 350 CC high profile silicone implants under the muscle placed two years ago. I’m trying to decide whether or not to place a bigger implant or to stitch my lateral pockets to bring the implants closer. 1 surgeon said he would dissect my medial pocket and stitch the lateral pockets to bring them closer and 2 surgeons told me not to do it. Is there anything I can do to achieve cleavage if I have a wide sternum and am pigeon chested? Would you recommend bringing my pockets in?

Gianfranco Frojo, MD · Answer

I agree with the second surgeon to definitely NOT dissect the medial pocket anymore. This can potentially over released the pectoralis muscle leading to potential animation deformity, symmastia (unibreast), implant malposition, implant visibility, and bizarre fold deformities.  I think that this is a very stable and good looking result. I would recommend really thinking about doing any type of secondary surgery in my professional opinion.

Daniel Barrett, MD · Answer

Dear Awesome531603,
many women seek improved cleavage. Narrowing the cleavage plane can be done very carefully by a skilled surgeon. Moving the implants too far medially can result in synmastia or unaboob which is very difficult to correct. That being said, the right amount of pocket dissection and implant selection can create excellent cleavage. 
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

Yes, you have a wide separation.  However, there are variations of what is considered acceptable.  Plicating the pocket laterally will help eliminate the lateral displacement.  You will also need medial dissection.  Another alternative to consider would be fat transfers medially.

Best Wishes,

Gary Horndeski, M.D.

Joel Patrick Maier, MD · Answer

Breast augmentation typically enhances your native breast anatomy. It would be very helpful to see your before photos to see if there is any room for improvement. But from what I can see, it looks like your augmentation has a nice result.

Steve Laverson, MD, FACS · Answer

Your ribs are canted laterally and nipple-areola complexes (center of breasts) align near lateral margins of body from front view.  Breasts look nice when standing.  Implants that are slightly wider than your existing centralized a bit superior and medial to your nipples will (like a push up bra) fill out the inner breasts more but you'll not have cleavage without a bra (unless you go disproportionately huge) because of your ribs and native breast anatomy.  Consider fat transfer, or enjoying what you have, which is very nice

Should I bring my breast implants closer together? (Photo)

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Answer: Should I bring my breast implants closer together?

Answer: Should I bring my breast implants closer together?

Answer: Cleavage?

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Everything you need to know about Breast Implant Revision

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Should I bring my breast implants closer together? (Photo)

Answers (8)

Answer: Should I bring my breast implants closer together?

Answer: Should I bring my breast implants closer together?

Answer: Cleavage?

Answer: Cleavage?

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.