Will I be able to achieve a 1 finder gap after under the muscle implants?

Question

I want the ideal 1 finger gap after my breast augmentation. I know it has to do with your anatomy, so based off of photos would I be able to achieve the 1 finger gap after breast agaumentarion under the muscle? Thank you!

Zoran Potparic, MD · Answer

Based on these photos, you have very tight skin envelope and no existant breast shape since your breast tissue did not develop sufficiently. For that reason, it is going to be the implant which will ultimatelly dictate shape of your breast due to underlying anatomical conditions. In patients with tight skin envelope, it takes over 1 year for result to mature, skin and muscle envelope to relax. Using fat grafting, an experienced surgeon can, to a certain degree, further shape breasts like yours; it may take 1-2 stages of fat grafting to achieve good result. You should discuss these issues with your surgeon in detail before surgery. Hope this helps.

Randal Haworth, MD, FACS · Answer

Achieving a one-finger gap after breast augmentation depends on a variety of factors, including your existing breast anatomy, chest wall anatomy, and the type and size of implant used. It is important to have a consultation with a qualified and experienced plastic surgeon who can evaluate your unique anatomy and discuss your goals and options with you.

During the consultation, the surgeon will assess your breast anatomy, skin elasticity, and chest wall measurements to determine the most appropriate implant size and placement to achieve your desired outcome. They may also use 3D imaging technology to simulate the potential results of the surgery.

It is also important to have realistic expectations about the outcome of your breast augmentation. While the surgeon will work to achieve the best possible result based on your anatomy and preferences, individual results may vary.

Best of luck !

Daniel Barrett, MD · Answer

Dear Genius188143,
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

Ted Eisenberg, DO, FACOS, FAACS · Answer

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Ahmad H. Ahmadi, MD · Answer

The one-finger gap will be difficult to achieve, no matter what size implant you choose.  Trying to push for a one-finger gap puts you at risk of developing symmastia.  Fat grafting, as a second stage, may help somewhat.

Peter Andolina, DO · Answer

Based on your photos I do not believe you will be able to achieve your desired 1 finger gap after augmentation.  You have very small breasts that are a little widely spaced (based on your nipple position).  I think you will still look great after an augmentation but I doubt you will be able to get your breasts that close.

Camille Cash, MD · Answer

The submitted photos show widely spaced breasts.  Implants can help to give more volume and can make the gap a bit smaller, but a "one finger gap" is not a likely result.  I encourage you to meet with a board certified plastic surgeon near you to discuss your goals and learn more about your options and what you can expect in terms of results.

Connie Hiers, MD, FACS · Answer

No, your breasts are spaced too far apart for such a small cleavage, but with implants, your gap will be much less.

Douglas Taranow, DO, FACOS · Answer

While you will look very good after a breast augmentation, you have several anatomical concerns. Your chest is curved in a convex anatomy, which makes the implants settle laterally with less cleavage. Secondly, your nipples are very far apart now, and you are very thin. I would consider using a flatter implant with less projection, which has a wider base, allowing you more leeway, in getting the desired one finger breath, cleavage 
Lastly, a physical exam would determine how wide your sternum is.  If narrow, then tighter cleavage may be obtained. 
You are a very good candidate for a transaxillary (armpit incision) submuscular breast augmentation 
Best wishes 
Dr. Taranow.

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

Thank you for your question and photographs.

You should be able to achieve a very nice result after submuscular breast augmentation.

However the gap between your breast is determined by the normal space between your breasts before surgery.  Your breast and the photo are fairly wide spaced in a properly done submuscular breast augmentation will give you cleavage better than you have now but I doubt that 1 finger cleavage is possible or even desirable.  It is important to leave the muscles attached to the sternum or breast bone and this will prevent the implants from being too close together.

Will I be able to achieve a 1 finder gap after under the muscle implants?

Answers (11)

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