Are my breasts too close together after augmentation? (photo)

Question

I knew it was a possible aesthetic "risk" because I have mild pectus excavatum, however, time is passing and I am worried that I don't like the look of my breasts when topless because they sit too close together.

Dana Goldberg, MD · Answer

Thankfully there are no signs of symmastia (aka uniboob), so technically they aren’t too close. However, they may be too close for your aesthetic. Given your anatomy, it’s possible the only way for them to sit farther apart might be to tighten/suture the capsule in between or use an internal bra. It’s also possible you might need to downsize the implant to one that is more narrow. Bottom line, many women with implants get nit picky about their result, and every surgery comes with risk. So the best thing to do might be to leave well enough alone.

If they seem to become even closer together, that could be a sign of capsular contracture. This doesn’t automatically mean you need surgery, but it can progressively change the shape and feel of the breast, so it’s something to be aware of. Hope this helps!

If they seem to become even closer together, that could be a sign of capsular contracture. This doesn’t automatically mean you need surgery, but it can progressively change the shape and feel of the breast, so it’s something to be aware of. Hope this helps!

Gary M. Horndeski, MD · Answer

Your breasts are very close together but this may be acceptable. However, if you feel it is not, then you will need to have the pockets lowered with plication medially to separate them and you may need smaller implants.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Daniel Barrett, MD · Answer

Dear ela1330,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Due to your anatomy, they will fall close together. however, you can go down in size and have a little more room. If needed, the inner pockets could be tightened to limit medial movement.

Mats Hagstrom, MD (license on probation) · Answer

If you’re unhappy with the outcome and our contemplating revision surgery, then you need to personally ask yourself if the outcome bothers you enough that you’re willing to have another procedure.
To get a quality assessment we always need to see a complete set of proper before and after pictures.
If you don’t have before and after pictures, then ask your surgeon to forward the pictures they took. I had a.
If you have a consultation with anyone other than the surgeon who did your procedure then you should always bring your before and after pictures and a copy of your previous operative report.
These are part of your medical record that you can request.
I think most people would say that your augmentation looks great, but you’re the one who has to be the final judge.
Best,
Mats Hagstrom MD

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