Wide sternum, small breast tissue and outward breasts - will submuscular implants make my breast too far apart? (photos)

Question

Hi, I am 29 years old male to female transgender. I'm planning to have my BA under the muscle to avoid many risks but my surgeon said that he can do subglandular to so he can create good cleavage. If he will do submuscular, it will be too apart from each other and might not look good due to my wide sternum and outward breasts. I want under the muscle because there are less complications, capsular, sagging and ripping. I need help to decide :(

Gary M. Horndeski, MD · Answer

Your breasts are widely separated and you have no cleavage. The technique I recommend is a mini lift. Using a circumareola incision, your breast tissue is reshaped, elevated higher on the chest wall and more medial to increase your cleavage. At the same time, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear Helpful279136,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

When implants are placed they settle behind the nipple at the breast fold.  The sternum is fixed and the width cannot be changed.  Placing the implants above the muscle may give the illusion of the implants being a little closer together but they will still be somewhat wide and you'd have to address the nipple position as well.

Connie Hiers, MD, FACS · Answer

You will still have breasts somewhat widely spaced for this is your anatomy, but under the muscle will be the best choice. You should not be as wide as you are now.

Douglas Taranow, DO, FACOS · Answer

You have several anatomical issues now.  Your chest wall is curved (which affects how the the implants will slowly descend-more laterally in your case) and your nipples are very lateral.  Placing implants medial to get cleavage will accentuate the lateral nipple areola position.  Going submuscular limits the medial cleavage while subglandular allows closer medial dissection (better cleavage), this is fraught the potential for medial rippling (the visual appearance of the implant edge).
Best wishes,
Dr. Taranow

Wide sternum, small breast tissue and outward breasts - will submuscular implants make my breast too far apart? (photos)

Answers (5)

More Breast Augmentation Questions

WE SEND PRETTY
EMAILS

Answers (5)

More Breast Augmentation Questions

Can I avoid a breast lift? Looking for a natural shape (Photo)

Implant Diameter relative to Breast Width? (Photo)

Sharp nipple pain 8 months after surgery - What could this be?

I'm 210lb & 5'9", A to D/DD cup, will 500cc achieve this? (Photos)

What kind of scar is developing 6.5 months post-op? Is this keloid? (Photos)

Booked for anatomical - can the same result be achieved with round? (Photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS