Should I Have my Breast Implants Moved Closer to Midline? (photo)

In this case, do not move your implants toward the midline. Although it is possible to move an implant to the left or right by suturing the implant pocket, implants should be centered underneath the breast mound and nipple-areolar complex. If you move your current implants too far medially in order to achieve more cleavage, you will be creating implant malposition. You may be a candidate for a wider based implant to help fill in the medial breast tissue.

Hi, for your guidance, over time, the implants may shift in any direction causing the need for a revision. In rare cases, a “bottoming out” effect occurs, in which, the implant sinks too low in the chest wall causing the nipple to appear to point upward or be position too high. Generally speaking, if the implant is larger (i.e. heavier) and if a bra is not used regularly during wake time hours there is a greater change toward displacement.Treatment will generally require closing the space with a procedure called a capsulorrhaphy. In this case, the capsule is closed off internally much as we do when we are trying to raise the breast fold. The capsule is closed with sutures and at times Acellular Dermis Matrix (ADM) or other soft tissue substitutes would be used to further support this correction. Best of luck! #RealSelf100

It would be nice to see a before photo because you may naturally have wide set breasts. If this is the case then moving them closer may not be possible. If the your breasts were closer and now have migrated outward then surgery would be helpful. 

Dr. ES

While your breast augmentation result may not be perfect, there are risks and potential complications from a revision just like the original procedure. Moving implants closer toward the midline is not always easy or stable after it is done so you would have to accept the aesthetic risk of a revision that might not work or be stable long-term. I would find that improving the left breast via more volume and pocket adjustment to try and match the right breast better a more prudent approach. I would not be encouraging to do a revision if the main goal is to try and improve cleavage.

Personally, based on the photos I would leave them alone. It looks like you have a reasonably good result. Your anatomy leaves you with wide cleavage as you can see how the muscle inserts onto the sternum. If anything the left side( right in the photo)  looks a bit lateral and smaller. Maybe a slightly wider larger implant on the left would help.

Thanks for the photos. Additional surgery has risks. But it is your personal decision. I note also size differences in your left appears smaller. 

Moving your implants closer to the midline may not last long if they are under the muscle as they have a tendency to move to the side. If they are above the muscle, it may last. However, the trade off is that your nipples may point more to the side as they will not be in the center of the implant. You should consider leaving them as is.

You should look at your before pictures and check  the position of the pectoralis muscle origin over the sternum. You have gap in between implants and repositioning the implants will not help. If you move the implants toward center by releasing the pectoralis muscle,you will have nipples directing outward and palpable implants over the middle . The other option  is to move the implants above the muscle,but you have thin tissue and your implant will be palpable. I would leave them alone .

Some individuals have a wide chest or breast bone and a more widely spaced breast. The breast implant belongs centered within the breast and should fit hand in glove and move with an feel at one with the breast. We feel it would be a mistake to try to move the implants closer to the center of your chest. You could have a broader diameter implant for better cleavage. There are asymmetries of the breast envelope with one nipple relecting this in its lower position, though if it not a concern don't change it. One thing to consider is a slightly fuller implant on the 'lower' side if you feel a volume difference rigth to left, but you should live with your results before you make any decision.

Best of luck, peterejohnsonmd.com

It appears that your implants are under the muscle, which is probably the correct decision for someone with your slender build. Unfortunately, submuscular implants do displace more laterally, and cannot be placed as close together as subglandular implants. Unless the pockets are very loose on the side, I think trying to simply close the pockets with sutures will fail over time and may also give an unatural pinched in look on the side. What I see mostly in you is breast asymmetry which is almost certainly related to the shape of your breasts prior to the procedure, and could almost be predicted prior to the procedure. Your eft breast is slightly lower, and lateral, and does not have as much tissue towards the middle as the right. I perform a technique I call composite breast augmentation, using fat rafting in combination with implants to improve asymmetries and increase cleavage by adding fat on the medial aspect of the breast. In your case one would add more on the left than on the right.