Can my breasts move closer together? (Photo)

Question

I am currently 12 days post-op. I am 5'5 and 130 pounds. I got 335 cc silicone hp unders. I absolutely love my implants, but I wish they were closer together to have more cleavage. Is it possible for them to move together over time as they settle? Or is there anything I can do to move them more medially (like massage a certain way or wear a different bra)?

Clark Schierle, MD, PhD, FACS · Answer

Hang in there! As long as the shape and feel are improving week to week, however slowly, there is still hope for the final outcome. Ask you plastic surgeon if there are any compression garments, stretches or massaging exercises that can help speed your recovery. As they soften, you will be better able to move them together with your bra.

Peter J. Capizzi, MD · Answer

Hello and thank you for your question. Please know that you are still extremely early in the healing process and should allow your breasts time to settle. From your photos, it seems that your implants are in a natural position, and look very proportionate to your body. Once the breasts soften and settle, I believe you will achieve the look you want. If you find that you are still unhappy, consult with your board certified plastic surgeon about options to yield more cleavage. Best of luck!

Austin Hayes, MD · Answer

It's a good question. The breast has a natural footprint on the chest. Breast augmentation places the implant within the footprint and underneath the breast tissue. The augmentation does not move the breasts closer together. It appears that you have a great result. In order to add the look of cleavage when wearing clothes, consider purchasing a push-up bra. However, obtain clearance from your surgeon prior to wearing any bra. Most surgeons have very specific recommendations on when you can begin wearing certain bra types.

Gary Lawton, MD, FACS · Answer

This outcome looks excellent.  The implants will not nor should they move closer together.  You are also 6 months away from the final outcome.  High profile implants were an excellent choice, and always are.  Moderate implants are an old fashioned product, with old fashioned results.  The MP implants give less upper pole fullness, less projection, and they are too wide for most chest walls.  The HP implants are a newer design which were produced to compensate for all of the flaws of MP implants.  You made the right choice. Based on your anatomy there is virtually no risk of synmastia.

Richard H. Tholen, MD, FACS · Answer

The implants chosen are positioned properly. But if you and your surgeon had chosen moderate plus implants of the same size, they would have been a tiny bit wider, and would have given you concomitantly closer cleavage, as well as a bit more upper pole fullness (wider round = taller vertically). And this would have only lost a tiny bit of projection. Your present appearance is not a bad outcome for high profile implants.Plus, over time and wearing a bra, your implants will probably displace slightly medially, giving you the close(r) cleavage you desire. This comes with a somewhat higher risk of symmastia, however, if the centrally-attached fibers become stretched or torn by too-vigorous medial implant movement (or displacement exercises).The best you can and should hope for are soft breasts that move easily in their pockets and can be pushed to whatever degree of cleavage you desire with a chosen brassiere. Remember, this is a clothed-only look; naked there is no medial pressure on your implants by bra, swimwear, or clothing. Talk to your surgeon about your concerns and don't "mess up" a good result. Best wishes! Dr. Tholen

Brian C. Reuben, MD · Answer

Thank you for your question and photos.  First off, you have a very nice result.  Your breasts are connected to your chest wall much like a house sits on a foundation.  It is not really possible to "move" the breasts any closer together than where you are naturally.  The implants need to be centered under the nipple or else you will have a funny appearance to the breast.  If you get a wider implant, you run the risk of developing symmastia, where the implants can ultimately touch at the center, not a favorable look.

Afshin Parhiscar, MD · Answer

Dear Dance5678Congratulations on having gone through the tough part of the recovery and being on your way to enjoy the results of your procedure!Based on your pictures, your implants appear to be a good size for your build and well positioned. They will look natural and proportionate. In order for them to be placed closer, your surgeon would have had to break surgical attachments that if kept intact lead to a more stable result. You should follow your surgeons instructions, usually at this point they include daily massage to keep your implant pockets wide and soft.

Jeffrey Umansky, MD · Answer

Thanks for your question and photos. You are still early in the healing process and need more time to settle. It looks like your implants are correctly positioned given your nipple position and the pre-operative photo. You started with a slightly wide space between your breasts and if your surgeon placed the implants any closer your nipples would point out to the side or you would risk synmastia (uni-boob).  I suggest you follow your surgeon's instructions. Best of luck!

Tracy Kayan, MD · Answer

You look great 2 weeks out! Because your implants are under the muscle, there is only so close they can be made to come together, as the pectoralis muscle attaches to the edges of the sternum (breastbone), so without cutting a significant portion of the muscle the implants will only be so close together. What I recommend to patients is that with tighter bras or push up bras the breasts will appear to be closer together. You will notice they look farther apart if you wear looser clothes or garments (like some bikini tops) so dressing strategically is also an option to make them look closer together. There are some surgical revisions that can be done to make them appear closer together, however it may not be worthwhile given you have an excellent result, and would put you at risk for symmastia.

Joseph L. Grzeskiewicz, MD, FACS · Answer

The main thing to know here is that the nipple needs to remain the visual center point of the breast.  In that regard, your implants are positioned appropriately, and your breasts already have a natural appearance.  Having said that, I see the space in your cleavage that you are talking about, but I don't think you should despair.  At only 12 days post-op you probably still have swelling in your pre-sternal tissues, and this will create some space in your cleavage between your breasts.  It is often 2 or 3 months before this resolves and the breasts relax and come together.  When this happens, the cleavage more often than not looks beautiful.  As far as massage goes, this depends on a lot of things, not the least of which is the kind of implants you have.  For some implants we don't want to do any massage at all post-op.  Check with your surgeon about his or her recommendations along those lines, but mostly just be patient and give yourself some time to heal.  I think you'll have a beautiful result in the end.  Good luck.

Can my breasts move closer together? (Photo)

Answers (14)

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