Just get breast implants or would a fat graft be necessary for breasts to have more upper pole fullness and be closer? (Photos)

Question

I’m 5’1 and 19 years old. I’m currently a 38dd and bottom heavy. I don’t have loose skin but I feel most of my volume sits lower and towards the side. My biggest concern is the spacing, I feel like my breasts sit too far apart. I’d like more upper pole fullness and a closer, fuller look while still staying proportional to my frame. Would implants alone achieve this, or would a fat graft or lift be necessary?

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").
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.
Fat grafting is a much less predictable option.
And remember...love the look you choose...not the cup you desire.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Just get breast implants or would a fat graft be necessary for breasts to have more upper pole fullness and be closer? (Photos)

Answers (1)

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