I want to limit the spacing between my breasts - How would you address this case? (Photos)

Question

Bwd is 11.5, breastfed 2 kids, mid 20s, I know I will need a full anchor lift but I would like to get around 380cc. My issue is I really want to help limit the spacing between my breast. A few drs i consulted with said im narrow ans a HP implant would work best. But I like a more natural tear drop shape and feel a moderate one could help close the gap if it’s within my BWD. For reference I’m 5’3 and around 110lb.

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").
With regards to your specific question, 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.
And remember...love the look you choose...not the cup you desire.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

I want to limit the spacing between my breasts - How would you address this case? (Photos)

Answers (1)

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