How to reduce gap after breast augmentation? (photo)

Question

I am 3 months post op (silicone/high profile/under/475cc A to D). My gap is 2.5 fingers and I have more side boob than cleavage.. even when I wear a bra. Is there any way I can reduce the gap and somehow position my breast to be more in the middle with a tight sports bra or a certain type of bra? Please help! Thank you!

Gerald Minniti, MD, FACS · Answer

Hello,Your gap will improve with time to a small extent, due to continued stretching of your soft tissues: skin, fat, breast, and muscle. My assumption is that your implants are as well placed as possible, and that the pectoralis muscle was appropriately thinned along the sternal border, and that the lateral extents of the implant pockets are not too lateralized.  If this is not the case, then there is room for improvement.  To determine this, a physical examination by a surgeon is necessary.Regardless, you are an example of one of the many limitations of breast augmentation.  Your desire to be a D cup when you were an A cup should have been discouraged.  You had small breasts that did not extend very far over the sternum and little body fat.  You are lucky that your only complaint is a wide gap. Unfortunately, time is not on your side, and the same stretching of soft tissues that will relax your implants and allow them to glide together more easily will also be the source of potential problems in the future: thinning and rippling, malposition, and dropout.  Some of these problems may be uncorrectable, and you might always have a significant aesthetic compromise.If you really want help, you should take sage advice and realize you need to do what's best for yourself in the long run. Removing your large, high profile implants with smaller, lower profile implants (perhaps the same diameter) will not only decrease your risk of long term problems, but also instantly improve the apparent width of the 'gap'.Best of luck!

Asif Pirani, MD, FRCS(C) · Answer

The breast footprint is not possible to change.  If you have widely set breasts, they will always be widely set.  See a BC PS in your area to discuss this with.

Scott C. Sattler, MD, FACS · Answer

You appear to have a fairly large implant with tight tissues - I would suggest fat grafting to the medial pole of each breast to improve infill in this region and provide more implant coverage. Your breast tissues will thin with time, so fat grafting might be helpful for you.

Ryan Neinstein, MD, FRCSC · Answer

Great question and topic. Your results in the bra seem perfect. If your breasts are too close you will get uniboob or synmastia which is when the implants go over the sternum and touch, it is probably the worse aesthetic complication you can get

Sean Doherty, MD, FACS · Answer

Thanks for your question. Based on your photo, you have an excellent result. You are still healing and thus your swelling will decreased and your implants will settle. As far as your cleavage--your cleavage is your cleavage. That is how you were born. Your surgeon gave you more volume to your breasts but left your cleavage alone--as they should have done. I recommend experimenting with different bra types to see which gives you the most desirable cleavage--remember though, your implants will continue to change as the swelling resolved over the next 2 months.

Jeffrey Zwiren, MD · Answer

Your breasts will certainly improve in shape over the next 6 months since you are very early in the post operative recovery process.  The distance between the breast is determined by several factors.This included the anatomy of your chest and sternum.  Since the implant, if placed under the muscle, can only go as close to the middle as the edge of your breast bone this is one limiting factor.  If the rib cage is flat the breast will project forward, if it is angled they will project to the side. These are all factors that can be discussed with your plastic surgeon.

Richard J. Brown, MD · Answer

Well, this is a very loaded question. There are so many things that determine cleavage. One is your anatomy. Some patients just have wider cleavage than others no matter what and that is determined by where the pectorals muscle attaches to the sternal bone in the center of the chest. The profile of the implant can also affect cleavage. Higher profile implants tend to push the breast out further giving a deeper cleavage. If more implant is in the armpit you may have an implant that is too wide for your body. In that case you may need to have new implants that fit your base diameter and often times that means a pocket revision to suture the pocket closed in the armpit area. All of these things I discuss I have no idea if they pertain to your situation, but these are the issues to be considered when one desires more cleavage.

Curtis Wong, MD · Answer

can be accomplished from pushing your breasts together frequently but the space will still persist when without a bra.  If you started with a huge space, your look is really pretty good.  But as the other doctors have mentioned, there are options you can consider.

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question. Fat grafting may be a simpler procedure than pocket revision to decrease gap between breast implants.

Cynthia Disla, MD - Account Suspended · Answer

Thanks  a  lot    for  the questions    i was  reading   some recommendations    of  others  colleges ,    but  i  disagree   with  the most ,     i think   that    while  performing    the  breast   augmentation    the  pocket  to  the   to middle    line or    center  line was  not enough .we   have   to respect  1  cm  to center  line  for  not  create  the  symmastia  but  not    more  than  this ,   because  if  not  no matter  what  you  do   that   pocket  a  this  stage  is  already  closed     and  to   improve    there is no other  way   than  surgical revision  of  the  internal pocket   to wide  it     and   let     the implant    come to  your  center  line .Otherwise   your    breasts    look  beautifull    and    what   we  see  is  a  very nice  shape

How to reduce gap after breast augmentation? (photo)

Answers (11)

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