Fixing wide gap between breasts. Any suggestions? (photos)

Question

I'm considering getting a breast augmentation in order to get a more lifted look. I have wide set breasts that look even worse because of the sagging. I'm currently a 36C. Is there anything I can do to fix the sagging and the very wide gap? Thanks.

Jerome Edelstein, MD · Answer

Hello,Thank you  for your question and photos. A physical exam is required but it appears that you could benefit most from a breast lift. This would allow you to lift up and reposition sagging breast skin and areolas. This can be done with or without implants.I recommend that you book a consultation with a board certified Plastic Surgeon to discuss your goals and your options.All the best

Robert M. Tornambe, MD · Answer

I appreciate your concern, but it appears that breast lift with implants is your best option. This would address the shape,droop and lack of fullness of your breasts, and also correct your large nipple-areolar complexes. There are risks and issues with this approach, like scarring, so be sure to consult with a board certified plastic surgeon. Good luck!

Rodger Shortt, FRCSC · Answer

Your photos are not as good as a consultation but overall I expect that a lift is the best thing for you.  Whether or not you want more volume is the answer to whether an augmentation is required.  The separation between your breasts is not easily changed and is more reflective of the shape of your rib cage and the position your breasts project from your chest.  A modest correction is available with fat grafting, something that I have been doing more and more of.  This can be done with just a breast lift or a lift and breast augmentation.  If you want to discuss your options more, I would be happy to see you in consultation.Dr Rodger ShorttOakville Plastic SurgeonAssistant Clinical Professor &Director of Cosmetic Surgery Training,McMaster UniversityStriving to be the top ranked and best plastic surgeon serving Oakville, Georgetown, Burlington, Milton, Hamilton, Toronto and the GTA.

Michael Kreidstein, MD, FRCS(C) · Answer

The gap between your breasts will be much improved by a lift.  Implants alone will not be a good solution.

Martin Jugenburg, MD · Answer

Adding implants and doing a lift may be able to improve your breasts, but the gap will not change.  Implants add volume to existing breasts, and a lift helps to lift and reshape the breast.  The gap is what is it is.  Trying to fake it by pushing implants closer together often makes the results worse

Scott W. Vann, MD, FACS · Answer

The gap between your breasts is a simple fact of your anatomy. however you are probably a good candidate for at least a breast lift and maybe an augmentation /lift if you want more volume. Once you have more volume higher this will help make the gap appear smaller. Then if you add a pushup bra you can achieve cleavage. Bras not surgeons make cleavage. Good luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photograph, you may be a good candidate for a breast lift with or without an implant, depending on your goals. The most important aspect is to find
a surgeon you are comfortable with. I recommend that you seek consultation with
a qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Jeffrey Antimarino, MD, FACS · Answer

The gap between your breasts (cleavage) will be improved with implants due to the added volume but the actual gap should not be manipulated.   Attempts to narrow the cleavage with implants can lead to a problem called symmastia, which is very difficult to fix.  I recommend my patients using a bra to narrow the cleavage.Good luck.

Steven Wallach, MD · Answer

Implants do not lift the breasts to any degree.  You likely need a lift along with implants to achieve your goals.

Peter A. Aldea, MD · Answer

Great question.First, let's understand what cusses the gap between the breasts. The vertical bone of the chest cage, the sternum, stabilizes the chest and allows the ribs which join it along both its sides to act as a bellows sucking in and expelling air as we breath. As you can feel for yourself, there is just skin and minimal fat on this bone. So the width of the sternum greatly determines the specs between the breasts. While some breast tissue creeps on the lateral margins of the sternum, the vast majority cannot. The underlying pectoralis major muscles originates from the anterior surace along the side  of the sternum and cartilages of the top six ribs as they attach to the sternum. In the process of placing breasts implants and creating pockets for them, we divide the muscle origins to the ribs and the inferior attachments but we spare the vertical attachments to the sternum. Attempting to squeeze in large implants into small chested women and weakening and division of the vertical attachment of the pectorals so major muscles to accommodate the implants and narrow the cleavage greatly increase the risk of the implants moving in and creating a "Uniboob" or symmastia. You can see photos of these unfortunate women all over the Internet. In my opinion you can have a nice result with either a Breast Lift or a Lift Augmentation without having to resort to risky surgical acrobatics. Seek out a good board Cerified Plastic surgeon where you live and you should do well.Dr. Peter A. AldeaMemphis, TN

Fixing wide gap between breasts. Any suggestions? (photos)

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