Need help! Why are my breasts so close together after surgery? Also should there be extra skin and rippling? (Photo)

Question

Female, age 25 5’4 120lb I had a breast augmentation surgery done last year. My doctor said a lift was not needed only an augmentation, but now I realize there’s no space between my breast It’s connected along with drooping skin and rippling

Zoran Potparic, MD · Answer

It looks that too large implants are the reason for current condition. Breast are together, there is no normal separation between them, condition known as symmastia; visible implant rippling both on lateral and medial side, small amount of breast tissue covering implants, displaced nipples, etc. correction should include smaller implants, possibly placement underneath the muscle, correction of symmastia, correction of lower breast crease (IMF) and breast lift. In person or teleconference consultation with a board certified plastic surgeon expert in breast  surgery is recommended. Hope this helps.

Daniel Barrett, MD · Answer

Dear Nice153977,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Brian K. Reedy, MD · Answer

Thanks for your question! I would suggest seeking an in person evaluation. There are a couple of things at play here, and I think revision will be your best choice. That being said, you should be seen in person to determine exactly what needs to be done. Good luck!

Hilton Becker, MD · Answer

your implants are too large for your body frame .
Replacing them with smaller implants would be necessary

Jeffrey S. Yager, MD · Answer

Your implants are way too big for the space your body has across your chest. You need to remove the implants, fix the symmastia ( breasts meet in the middle) and use an implant appropriately sized for your body.

Camille Cash, MD · Answer

From your photos it appears your implants are too large for the breast space.  This forces them to appear unnaturally close together.  The skin is thin so the ripples and wrinkles of the implants are showing through.  Capsular contracture may also be present.

Connie Hiers, MD, FACS · Answer

Your implants are much too large for your tissue and frame, and are smashed together because they are just too large for your breast bases. Also, your tissue is now stretched thinly and ripples are showing through. You need to go down in size, and you may need mesh for better support.

Michael S. Kluska, DO · Answer

Unfortunately, your implants have been placed in the sub glandular space and placement has violated your natural sternal/cleavage point attachments. Most likely at the time of your procedure you needed a breast lift with implants placed in the submuscular plane. If you were to have revision now, you would most likely need the implants removed for 2 to 3 months and then go back and place the implants in the sub muscular pocket and have a breast lift.

Mark Eberbach, MD · Answer

I’m so sorry to see that you went through. This was such an unfortunate result.

In my opinion, part of the fundamental problem is implants that are too large for your frame and for your soft tissue support.

I believe your best option is explantation with a breast lift, using your own tissue as a transition called an autologous augmentation.

The next step after some period time (4-6 months) would be a secondary augmentation with a much smaller implant to give you a pretty breast, but not as large.

Be sure to see an experienced Plastic Surgeon, who corrects secondary complications to have the greatest chance of success.

Avoid  The temptation to get everything fixed in one operation.

Good luck

Darryl J. Blinski, MD · Answer

Based on the two posted photos. It appears your above the muscle over sized volume implants with capsule contracture. The possible capsule contractors, causing the denting or ridges noted in the medial quadrants of the breast. You will need one to three surgeries to correct this result. Best to in person or virtual consult with. Expect fees per surgery to be $6000-$8000.

Need help! Why are my breasts so close together after surgery? Also should there be extra skin and rippling? (Photo)

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Answers (11)

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