Is It Possible to Get Breast Implants That Are Not Widely Spaced?

I want implants that are not widely spaced. How? I am tall 5'9'' with a large rib cage. I wear a 36' bra. I don't care about projection and don't want very large breasts.

Doctor Answers 11

Breast Implant Position

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In many breast augmentation patients, the inframammary fold needs to be lowered in order to allow the implant to rest at a level that appears natural relative to the position of the nipple and areola. Ideally the implant should be centered directly behind the nipple-areola complex (NAC). In profile, the natural-appearing breast is not convex in the upper pole, and an excessively convex and overly full upper pole is a dead giveaway that a breast implant sits below the skin. In addition, inadequate release of the inferior origin of the pectoralis major will allow the muscle to hold the implant in too high a position, and may even cause the implant to displace upwards (as high as the collar bone in some patients) when the muscle contracts. Patients with this problem require reoperation to release the inferior origin of the pec major and/or the inframammary fold.
Likewise, if the inframammary fold is lowered too far, the augmented breast will appear 'bottomed out', with an excessively full lower pole, an empty upper pole, and a nipple/areola that appears to sit too high on the breast - another situation with a distinctly unnatural appearance, and one that requires surgical correction: repair of the inframammary fold(s).
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.

Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

Spacing between breasts after augmentation

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One of the most common concerns that patients express is the desire to have natural looking cleavage, especially after seeing so many pictures online with a wide gap between the breasts. The key to getting it right is to have the correct diameter of the implants so that when they are properly centered under the nipples, they will fill out the entire width of the breasts. When you want to minimize volume, this is the low profile implant.

Cleavage and Breast Implants

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The ideal Breast Augmentation requires placement of the implants exactly under the nipples wherever they are located. Failure to do so or downward slippage/descent of the implants results with nipples on the slope rather than the apex of the breast and an unnatural to weird appearance. So - if your nipples allow close placement of implants which can be covered by your present breasts, by all means a nice cleavage when naked can be created. On the other hand, if the nipples are located along the side of the chest and there is little breast tissue to cover the implants it would be much harder to get closely placed implants without ending with sideways pointing nipples as a result.

Peter A. Aldea, MD
Memphis Plastic Surgeon

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Space between implants.

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Most of the time the goal is to have a 2 to 4 cm space between the breasts. This can vary from patient to patient. A board certified plastic surgeon can make the distance smaller. If too small there is a risk of symmastia. Each patient's chest wall and soft tissue is different. There is an interaction between the chest wall, soft tissue and the implant itself. This can drive the implants apart at times. Cleavage comes from bras that push together the upper pole. Make sure you tell al of your concerns to your board certified plastic surgeon. Bring photos in if you can find ones that you like.  Together you will make a plan.

Is It Possible to Get Breast Implants That Are Not Widely Spaced

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More often than not, it is your anatomy that determines how widely spaced the implants will be. If you r nipples are widely spaced or you have a mild pectus carinatum, you are more likely  to have this apearance. Choosing a wider diameter implant may help lessen the amount of separation/

Implants that are not too far apart

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There are different "profiles" to breast implants, and they vary in diameter.  If you are looking for an augmentation that will provide you with more cleavage than projection, than you will want to choose an implant with a wider diameter.  I typically tell my patients that the first thing that they need to choose is volume, ie: cc's of the implant to determine what cup size they want, then after measuring the diameter of their natural breast, we discuss the options to give the results that they are looking to achieve. 

Without seeing pictures of your breasts, it is difficult to say how much cleavage you can get, because it all depends on your anatomy, and how widely spaced your breasts are to start, but even if they are far apart, you should be able to get them somewhat closer together, but there are trade-offs with that, and you should be examined by  a Board Certified Plastic Surgeon so that your options can be discussed.  Good Luck! 

Breast implants should not be widely spaced.

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Your expectations are very realistic with good surgery.  Your description of your anatomy and of your goals make you sound like an excellent candidate for straight forward breast augmentation.  And I think it is great that you don't want to be very large.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Implant choices

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I assume that you mean cleavage. Your cleavage is defined alot by your anatomy and how the pectoralis muscle inserts into the sternum.  Without an exam it would be difficult to tell you.

Spacing of Breast Implants

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Basically, breast implants will enhance what you already have.  If you have wide spaced breasts that you will have larger, but wide spaced breasts.  There are adjustments that can be made to narrow the space somewhat, but it really is limited by your anatomy.  If you were having a breast lift at the same time, then there is a little bit more flexibility in the spacing of the breasts.  Good luck.


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You need to be seen and evaluated. Usually the implants are centered behind your nipples - so if they are widely spaced so will the implants.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.