Why are my breasts so far apart? What can I do to improve them, and can I have my areolas reduced? (Photo)

Question

i m 20 yaer old my breast size is small but areola is bigger but my question is, i want my breast close to each other. i feel guilty when i see them

Gary M. Horndeski, MD · Answer

You are an excellent candidate for a new
technique called Breast Augmentation with Mini Ultimate Breast LiftTM.Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage.Through the same incision, implants can be
placed.Aligning the areola, breast
tissue and implant over the bony prominence of the chest wall maximizes
anterior projection with a minimal size implant.Small round textured silicone gel implants
placed retro-pectoral look and feel more natural, are more stable, less likely
to ripple or have complications needing revision.Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it.Implantation alone will not solve your
problem since the implants have to be centered underneath the areola.Superficial skin excisions using a
circumareola technique will not reposition breast tissue.Best Wishes,Gary Horndeski, M.D.

John Michael Thomassen, MD · Answer

You appear to have tuberous breast deformity which can be corrected with an implant and a periareolar lift.  This procedure can help correct the appearance of a very lateral nipple/areola as well as reduce the areolar diameter.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your picture. Unfortunately there's very little bit can be
 done to move your breasts closer together since they are naturally far 
apart. Your realtor can be reduced to improve them cosmetically.

Jaime Perez, MD · Answer

You may choose to have
breast implants inserted directly under the nipples through a periaerolar
incision laterally.   If the implants are placed too medially then the
nipples will point further apart.   Then, through the same incision, areola
reduction can be performed.  If you'd like more cleavage then liposuction
and fat graphting to the medial breasts can be done.   This may
improve your results.  Please check with
your plastic surgeon.

Paul E. Chasan, MD, FACS · Answer

Thanks for your question. Because you already have "wide spaced breasts" or a long distance between your areolas, any volume you add to the center of each breast will further worsen that scenario. In your case, my approach to get the maximum cleavage that you want and not have odd looking areolas is to do a standard subpectoral breast augmentation and a circumareolar medial repostioning of your areolas. In other words, perform a procedure much like a donut mastopexy, but moving the areola to the center. I believe that this will get you the best result.

M. Scott Haydon, MD · Answer

Thanks for your question and your picture. No one has mirror image breasts. There is always a difference in size, shape, nipple position, etc. Looking at your photos, you appear to have a slight difference in shape and volume. The distance between the breasts is a function of your sternal width and the slope of your rib cage. A breast augmentation might help improve the shape. Unfortunately this is something that really needs a personal consultation to give you your options. Try using the Smart Beauty guide to find a Board Certified Plastic Surgeon who specializes in cosmetic breast surgery. Best of Luck!

Jose Perez-Gurri, MD, FACS · Answer

Hi and thanks for your question. Asymmetry of breasts is the norm and not the exception. Yours happens to be a bit more prominent than others but still within the range of possibilities. I understand your frustration. Althoug there isn't much that can be done about the actual anatomical separation, I feel a breast augmentation would benefit you.Most women who come to our institute are seeking that elusive cleavage. At the present time, you  are unable to create any sort of cleavage because of your separation and small breasts. There isn't much that can be done about the basic anatomy, however, a breast augmentation will give you volume. You can therefore create the cleavage. I would suggest either a saline or silicone gel implant, moderate plus profile, inserted through the areola, behind the muscle in the range of 325-350cc. Your areolas could be reduced at the same time.Always seek out a surgeon certified by the American Board of Plastic Surgery with years of experience in dealing with cosmetic breast surgery. I wish you the best on your journey. Research, research and then research some more. Good luck

Darryl J. Blinski, MD · Answer

Sorry but not much. Your issue is one of genetics and anatomy of the chest vault/breasts lateral location..

Mark Deutsch, MD, FACS · Answer

Thank you for your question. You have a difficult problem where the nipple/areolar complexes are displaced laterally. Any implant placed in the center of the breast will further aggravate this. A circumareolar mastopexy to move the areolas slightly medially at the time of your augmentation will help your breast shape and projection. You appear to have some degree of tuberous breast deformity. Good luck with your surgery and consult with a board certified plastic surgeon.

James Southwell-Keely, MD, FRACS · Answer

Hi there,The small size of your breasts can be amended with breast augmentation surgery, which can bring your breasts closer together but will make your outward facing areolae look further apart. In order to centralise your nipples over your breast mounds and reduce the size of your areolae you will also need to undergo a breast lift (mastopexy). Both procedures can be performed at the same time.Best of luck,James

Why are my breasts so far apart? What can I do to improve them, and can I have my areolas reduced? (Photo)

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