Is the wide space between breasts due to anatomy or surgery? (photos)

You are very thin so implants have simply made your existing breast gap look more obvious than before surgery - the implants have been placed correctly and the gap is due to your pre-existing gap

Healing will go on for 2-3 months for the early period.  There may be some swelling, bruising, malposition, color differences.   Sensation will be abnormal.  Scars will be changing.



If my patients have concerns that something is unusual about their healing process, it is important for them to call the office and discuss these concerns or come in to be examined

Always contact your plastic surgeon if you have concerns about post-operative infection, bleeding, swelling, fever, excessive bruising, or any new and sudden changes in the feeling or look of your implants, breasts or incisions.





Any of the following may be post-op difficulties, about which it is best to contact your surgeon directly



·       Excessive bleeding (hematoma) and bruising



·       Reduced sensation of #nipple



·       Deflation/rupture



·       Capsular contracture



·       Wrinkling/rippling. Palpable and/or visible



·       Firmness, and distorted appearance



·       Interference with breast feeding



·       Mammogram interference



·       Cost for revision surgery if necessary



·       Calcium deposits in the tissue around the implant



·       Breast tissue atrophy/chest wall deformity



·       Hypertrophic scarring



·       Tissue loss



·       Infection requiring antibiotics or implant removal

Thank you for your question and provided photos.  Breast augmentation has a number of involved variables.  During consultation, a patient should receive an in-depth understanding as to their current breast measurements, breast characteristics, and breast asymmetries.  This information is used by the surgeon to direct a patient as to the procedure that best suits their desired goals.  Regardless of the implant position, size, and type, the surgeon must recognize limitations in each patient to ensure an appropriate end shape and size to the augmented breast.  Your current photos show some widening of your breasts at your sternum.  Your post-operative concerns are hard to critique with photos alone.  I encourage you discuss your concerns with your surgeon.  Your surgeon should be able to explain your end results and why they occurred.  



Best of luck,



Dr. Mooty

   Dear Alyssa,   Thanks for submitting your before and after pictures. From observing your post operative picture, you appear to have a wide cleavage, which understandably is unnatural and create the impression of fake large breasts . Additionally, the right breast appears bigger.   The reasons for the excessively wide cleavage are either capsule contracture or inadequate dissection of the medial pocket which is quite common with entry incision in the sub mammary fold. This entry incision is too far from the midline , to allow for easy and safe dissection and creation of nice cleavage. This is the exact reason for my making the entry incision at the sub areola line.     In any event, this condition can be easily corrected by performing medial capsulotomy (scar release ). Your best option (financially) is to return to your surgeon for the corrective procedure. If you are not satisfied with your surgeon response, consider consulting with other experienced board certified plastic surgeons , who perform lots of redo breasts augmentation in accredited surgery center for your safety. Most importantly, check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking.                                         Best of luck,                                                             Dr Widder

Hello,Thank you for your question and photos. The implants are centered under your areolas and you are correct that they were spaced slightly wide to begin with. When implants are placed under the muscle there is a limit to how close the implants can be placed according to the muscle insertion point on the sternum. The spacing which is possible for each person is unique to their anatomy. Your implants appear to be in a good position. You may find that the look and spacing of your cleavage continues to soften over time and this could make the look of separation less pronounced.All the best