What Surgery Will Bring My Breasts Closer Together?

Question

My breasts sit too far apart. The fullness is all on the outside and cleave is hard to make. Also when I turn to the side or lean forward they have a slight tubular or pointy shape to them I feel. Is there any surgery that can make my breasts closer together or fuller on the inside? If I get implants will they just fall into my armpits? I dont want very large breasts, a full C is perfect, I just want them rounder and closer to each other while still looking dainty. Is this possible?

Kenneth Hughes, MD · Answer

A breast augmentation carefully dissected with a periareolar lift can produce a dramatic change in your particular case. Seek out the board certified plastic surgeon with the best credentials who has performed hundreds of these procedures.

Eric Swanson, MD · Answer

First of all, you have good-looking breasts to start with. Yes, implants will give you more fullness medially and more cleavage, which you want. Remember that breasts naturally fall off to the sides without a bra because of the rounded shape of your chest. But if they are correctly placed, the implants will not fall into your armpits. Just the right amount of muscle release is needed medially to have you a very natural, rounded cleavage (in a bra) without overdoing it and making the breast look like buttocks (Symmastia). The difference between surgeons is not usually the implants but the positioning of the pockets. There are some examples on my website.

George Marosan, MD · Answer

Thank you for the photos. Your breasts sit wide apart on your rib cage. From the photos I cannot appreciate if you have a prominent breast bone or your ribs tend to slope downward laterally. To achieve better cleavage, you can have an augmentation, but I'm afraid that going up to a C cup only, will not achieve your goal. One can do additional fat grafts to the cleavage area at the same time, prior or after the augmentation. Your nipple/areolar complexes are placed wide apart and you can expect further outward rotation especially if one wants to keep the implants more medial to enhance the cleavage. You need to see a board certified plastic surgeon for an in person consultation. A board certified plastic surgeon can apply and be accepted for membership in ASPS, but ASPS is not a certifying organization. Good luck.

Steven Wallach, MD · Answer

Cleavage in some respects is limited by your overall anatomy.  Placing implants will improve it somewhat.

Tom J. Pousti, MD · Answer

Thank you for the question and pictures.

	You will most likely benefit from a modest breast augmentation. However, to know for sure, you will be best served by meeting with well experienced board-certified plastic surgeons. Communicate your goals clearly;  in my practice I prefer the use of goal pictures as opposed to a discussion of cup size. A “full C”  or “dainty”may mean different things to different people and can be a source of  miscommunication.

	Best wishes.

Louis DeLuca, MD · Answer

Thank you for the photos.  Your interest in achieving more 'cleavage' is a very common concern.  It is very difficult to decrease the natural 'space' between your breasts.  Implants will give you more fullness, but not improve the 'cleavage' unless you wear a bra that brings the breast closer together.

	In rare cases, a row of stitches can be placed along the outside breast border (stitches are all under the skin) to close the outer breast boundary and force the breasts closer together.  Based on your photos I do not believe that this would be a good option for you.

	Your breast have a mild tubular shape, however, they are not 'tuberous breasts' which have much more distortion in shape and position.  An implant will provide more 'roundness' and thus improve the overall shape.

	Best of luck with whatever route you choose.

Jourdan Gottlieb, MD · Answer

I wouldn't say that you have tubular breasts--There are a number of features that define a tubular breast:

	•Wide and puffy areolae
	•widely spaced breasts
	•high breast fold
	•constricted lower pole (deficient tissue in lower half of the breast
	•minimal breast tissue
	•high breast fold
	•narrow base of the breast

	The only one of these I see in your photos is wide spacing. Implants alone will give a size increase, and may accentuate the sense of width. The third photo you show is quite helpful, in that you would certainly need a lift with an incision around the areola to elevated the areola and nipple. If you so choose, the nipple can also be moved a bit toward the center. If a submammary (instead of sub-muscular) implant is appropriate, it might be possible to get some centralization of the breast. 

	When you are ready for an in person consultation, RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified,  but also is a member in good standing of the major plastic surgery organization in the U. S.
	Thank your for your question, best wishes.

Darryl J. Blinski, MD · Answer

Thanks for the series of posted photos. I agree you have asymmetry and slight tubular deformity with a "gap" between. But over the internet I can only guess that textured silicone implants might help improve your appearance. Best to seek ONLY in person evaluations.

Shaun Parson, MD · Answer

Thanks for your question. I think the best way to achieve the desired cleavage that you are asking about is with breast augmentation. An augmentation will add volume to the areas were your breast is currently lacking volume. I don't know of any other operations that can accomplish this other than an augmentation. I hope this helps.

Milind K. Ambe, MD · Answer

Thank you for your question and photos. Yes, I think Breast Augmentation will help you achieve more fullness to the medial part of your breasts and give you more of a cleavage. The key is for your plastic surgeon to make the pocket appropriately for your anatomy so your implants do not "go to your armpits". If the surgeon makes the pocket appropriately you can have a very natural yet fuller look. Make sure you look at enough before and after photos from the Plastic Surgeon you choose. Good luck to you!

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