Is there a way to minimize spacing between the center of the chest for a more natural result? (photos)

Since you have nice size breasts, placement of implant on top of the muscle would create few benefits; shorter and less painful recovery as well as smaller distance between breasts which is what you want. Placement of the implant underneath the muscle is limiting how close we can place implants based on the insertion of the muscle to the sternal bone. In person consultation with board certified plastic surgeon familiar with this procedure may help. Good luck.

Hello,
And thank you for the question.
In patients who have wide sternum/rib cage, placing the implant under the muscle may not achieve full cleavage in the middle because the rib cage will limit how far towards the middle the surgeon can place the implant, since the muscle attaches to the sternum.
I would seek an in-person evaluation by the Board-Certified Plastic Surgeon, in order to discuss your goals and concerns for the best cosmetic results.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

The good news is that the implants give you more volume a fact which will make it easier to get cleavage in clothes. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Thanks for your question! The best chance at minimizing the space between the breasts is going with a wider implant. A moderate or low plus profile might be an option for you; however, understand that your body has some physical limitations with cleavage. Good luck!

Dear Amberxo,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello @Amberxo thank you for your question. There are a lot of aspects that are important to consider to get the best aesthetic result like the prostheses, the position where the implant is going to be, the approaching technique to get different results. The best course of action is to consult one or several board certified plastic surgeon for more information and options tailored specifically to your needs. Best wishes! Alan Gonzalez MD FACS

Some spacing can be decreased by choosing a lower profile, but some spacing cannot be changed because of your anatomy. Let your surgeon guide you to be best implant for you.

It can be difficult to reduce the space with submuscular implants alone - the edge of the muscle attached to the sternum can prevent the implant from moving towards the midline. Your surgeon will explain the options to you and tell you what is possible based on your tissues, breast width etc.Possible alternative options: fat transfer to the cleavage area or consider subfascial placement of the implants to allow them to be a little closer together.

From your photos the moderate plus implants are a good choice. They have a bit wider of a base compared to high profile implants so that should give you the impression of more cleavage. I encourage you to speak to your surgeon about your goals for surgery.

You seem to be a very good candidate for a breast augmentation. Your cleavage is not to wide now, and should be a bit less post procedure. The moderate plus implants are a good choice due to their wider base allowing for both cleavage and lateral roundness. The placement of the implants also has an effect on cleavage. Submuscular is limited on how far you may narrow the cleavage where subglandular does not have limitations. There are downs sides to either approach which should be reviewed.
Best wishes.
Dr. Taranow