How can I fix this wide gap between my breast? (Photos)

Question

I got a breast augmentation in Miami last year. Dr put 560ccs smooth round silicone implants in both breast. I’ve always had an issue with a wide space in between my breast and I brought that up to him and what he told me was that I would always have a space but they would just be bigger. I sometimes have pain from the implant going to far into my armpit. Can this be fixed?

Donald R. Revis Jr, MD · Answer

Good afternoon!Your pockets are too wide (lateral displacement) and too low (bottoming out). Because they made your pockets too large and too wide, it leaves you with a huge gap between your breasts and your nipples are spread way far apart. The proper correction is as follows:1) donut mastopexy to move your nipple position to the correct location and tighten your skin2) the Original Internal Bra, my strong permanent internal suturing technique which will correct your lateral displacement and bottoming out and give you a beautiful result with good cleavage and upper pole fullness. This is the most common revision I perform, 5-6 times a week- it works and it lasts!

Dustin Christiansen, MD · Answer

Great question!  I would start my answer with a question.  How far apart were your breasts before your surgery?  I frequently see women who want to have an augmentation with the hope that it will not only make their breasts larger, but will move them closer together.  Implants work well to make breasts larger, but the ideal position for a breast implant is behind the breast, whether it is more to the front or the side of the chest wall.  If your breasts were widely spaced before your surgery, adding an implant in the correct location will not really move the breasts significantly closer together, unless you are using very large implants.  It may widen the base of the breast which puts the inside edges of the breasts closer together, but if the breasts were widely spaced before, that inside edge can only be advanced so far before the breast looks abnormal.    If you talk with a surgeon about it, they will probably spend a lot of that visit trying to determine if the implants are centered under your existing breast, and if the implants could be moved toward the center without creating breasts that look abnormal.

Leopoldo Baccaro, MD · Answer

This issue you are having is a lateral and inferior displacement of your breast implants. This can be corrected and the distance between your breasts can be improved.Essentially the position of the implants need to be moved in, you would benefit from an internal bra to give better support, and you may need a different size/shape implant as well.There are techniques to make your cleavage lines closer which will make the distance between the breasts closer. Fat grafting can also be used to achieve the results which are closer to your goals.Hope this helps.All the best,Dr. B

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. A large portion of my practice is dedicated to revisionary breast surgery, and I fix problems very similar to yours very commonly. You have lateral and inferior malposition of your implants. I would perfom an inferior and lateral capsulorrhaphy (suturing of the pocket) and mirror image capsulotomy (cutting of the pocket) to bring your implants higher up and closer together. I wrote the first paper on capsulorrhaphy. Unfortunately, your areolas point down and out, and this would worsen this. You definitely would need a lollipop lift to reposition your areolas higher and more to the center. You would be able to have an excellent result, but not without the lift. Best wishes to you.

Daniel Barrett, MD · Answer

Dear Celebrated7995,
Many women seek improved cleavage. Narrowing the cleavage plane can be done very carefully by a skilled surgeon. Moving the implants too far medially can result in synmastia or unaboob which is very difficult to correct. That being said, the right amount of pocket dissection and implant selection can create excellent cleavage. 
Breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

How can I fix this wide gap between my breast? (Photos)

Answers (7)

Answer: Breast Revision

Answer: Breast Revision

Answer: BA results

Answer: BA results

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Everything you need to know about Breast Implant Revision

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How can I fix this wide gap between my breast? (Photos)

Answers (7)

Answer: Breast Revision

Answer: Breast Revision

Answer: BA results

Answer: BA results

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Recommended reading

Everything you need to know about Breast Implant Revision

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