Is putting the breast implants closer together by cutting muscle in middle of chest and also repositioning nipples safe?

Question

I saw a surgeon who said my nipples are too far apart and that I should have them adjusted to be more centered, and that I could cut the muscle vertically in the middle of my chest in order to put the breast implants (I want to use IDEAL implants) closer together. Is this safe? Are there extra complications I should be aware of?

Gary M. Horndeski, MD · Answer

If your implants are underneath the muscle often times more medial dissection has to be done to create greater cleavage.  However, it is possible to actually cut the muscle and then the implants will extrude medially and create symmastia, which is not a good result.  Unfortunately, you have not provided photographs but there are alternatives.  One option is medial fat transfer and another option is a breast lift done simultaneously.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear FairWanderer,
I almost always place implants submuscular. It lowers the rate of capsular contracture significantly. In addition, it looks much more natural because the muscle provides covering over the implant so its not as round on the top. I've also noticed the implants drop less over time when they are protected under the muscle.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

If you're having a lift the nipples get moved anyway so they could be moved. But if it's just implants, moving the nipples is not a good idea because if the scarring that would be involved

Connie Hiers, MD, FACS · Answer

Your surgeon should have discussed the risks with you during the consultation and has probably given you written information about the risks. Ideal implants are still saline implants and can still have ripples. Not all of your muscle will be cut, but just some on the lowest aspect of your sternum. Adjusting the nipples is good if needed.  You still may sit somewhat far apart because of your anatomy.

Is putting the breast implants closer together by cutting muscle in middle of chest and also repositioning nipples safe?

Answers (4)

Answer: Risks

Answer: Risks

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Everything you need to know about Breast Implants

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Is putting the breast implants closer together by cutting muscle in middle of chest and also repositioning nipples safe?

Answers (4)

Answer: Risks

Answer: Risks

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.