I want a boob job but I'm worried my nipples are to far apart, thoughts? (photos)

I think you are a good candidate for implants.  With breast augmentation, the implants tend to center themselves under the nipples because that is where the skin and tissue are loosest.  What that means for you is that there will be some separation between the implants.  If that's okay with you than therer's nothing stopping you from getting implants. I don't think it's worth trying to move your nipples.

At  Beverly Hills Plastic Surgery Group every breast augmentation patient undergoes a thorough evaluation and a 3-d vectra simulation to show what a breast augmentation will look like on each individual patient.  I highly recommend that you see a plastic surgeon that is board certified and has this type of technology to provide you with a simulation of what you would look like  with a Breast augmentation. Hope to see u soon. 

It's an important question to clarify with patients preoperatively. Implants are centered  under the nipple. So yes, an augmentation in your case would magnify this slight difference in your anatomy. In general, when this is pointed out as a possibility preoperatively, most patients are so content with their augmentation that their widely set nipples (that were present before surgery) are a nonissue. Best of luck.

but they will make you larger and fuller and provide you many more options with clothing.  If you have to have your nipples moved medially, you will have scars around your nipple and the scars can stretch out in undesirable ways.  People see the upper parts of your breasts so I would suggest focusing on getting the best, fullest, level upper poles you can get and not worry about how the nipples fall on the resultant mounds.  And if anyone should criticize your appearances when lucky enough to see them, they don't belong in your life.

Dear Leah,Having breast enlargement alone will not change the position of your nipple areolar complex. However, your nipples are in an anatomically normal position given the width of your breast bone. If you are mostly bothered by the position of your nipples you could consider an incision around the areola to move them in a bit at the time of surgery- I would, however, advise against this as I don't think the additional scarring is worth it in your case. It would be very helpful for you to see a board certified plastic surgeon who uses 3 D imaging (called the Vectra) pre operatively to see if you would be happy with the results provided by augmentation alone. Best wishes,Dr. Meghan NadeauSeattle, WA

With breast implant surgery, the implants are centered under your current breasts. The rib cage is a curve and your breasts are more around the curve.  Some rib cages are flatter in the front and the breasts project ahead more closer to the sternum, such as your desired photo.

A larger implant gives more cleavage towards the sternum and a smaller one less.

Thank you for the question. Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery. You are correct in that your anatomic starting point will to some degree determine how much space will be present between your breasts after breast augmentation surgery.  Other factors involved include careful breast implant pocket dissection and careful selection of breast implant size/profile.  Remember (when it comes to breast implant pocket dissection and achievement of ideal breast implant cleavage) that each nipple/areola complex must be centered on each breast mound.





Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.







Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:



1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.



2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 



In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “very natural” or "C or D cup" etc means different things to different people and therefore prove unhelpful.



Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.



3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.



I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with. 

Thank you for the photos and question and though your breasts are naturally wider apart then the desired look you should get an excellent result with an augmentation with the overall breast looking closer.  So see some experts in your area and be evaluated in person.Dr. Corbin

Breast augmentation would be a great surgery for you; during your consultation you can be shown where your nipples would be positioned after surgery; if you do not like the planned position of your nipples, you can consider a lift. Please see results below.

Thank you for your question.  Because you have  nipples that are far apart now, he can achieve an improvement in breast shape and size with breast implants but it is not possible to move the nipples closer together like shone in her desired photograph.  I would not let that discourage her from having breast augmentation.