Small, wide set breasts - can this be corrected? (photos)

Dear Helpful744814,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

It is certainly not common with widespread breasts to undergo breast augmentation, with one of the goals being to close the gap. Obviously other reasons would be better shape and volume a good discussion with your surgeon will help guide you through this process of choosing the appropriate implant. Larger implants have larger diameters which can be used to minimize the spacing between the breasts. For sure, it would be wise to look at a number of before and after photos by your surgeon. Some surgeons are better than others in closing the gap. It is relatively easy to place implants separated, more work is often needed by the surgeon to get implants closer. A look at the surgeon's past work may give you an indication. Other considerations in addition to size and your choice of surgeons could include the profile of the implant. When one has small, tightly defined and widely separated breasts, and implant that maintains its shape may be preferable to an implant that is very soft and influenced by the tighter skin folds. In general implants with higher profiles achieve this better than lower profile implants. The three major implant manufacturers in the United States have suitable models for this. These are all very reasonable topics to discuss prior to your surgery.

A breast augmentation with a periareolar lift on both sides should get you there. Sizing of the implant is important in order to reduce the intermammary distance.

"Thank you for sharing your picture. Your concerns can be addressed through a combination of breast augmentation with implants and a breast lift, also known as mastopexy. Implants can provide you with volume and roundness to make them look closer together, perky and round. While a lift can correct the asymmetry, sagging and create a perkier appearance.
The placement and size of the implants can also be chosen to make your breasts appear closer together. However, it's important to note that everyone's chest wall anatomy is unique and there are limits to how much the natural spacing between your breasts can be altered.
Regarding asymmetry, it's a common issue and can indeed be improved during the procedure. A skilled surgeon can adjust the size, shape, and position of each breast to make them more symmetrical. However, please keep in mind that perfect symmetry is not always achievable due to natural anatomical variations.
Before deciding, have a consultation with a plastic surgeon to understand the potential benefits, risks, and recovery aspects associated with these procedures. "

Hello, you have tuberous breasts more aggressive on one side (right on the photo). Your nipple positions dont look like ptotic, but your folds are placed high than normal (which is a component of tuberous breast deformity). In this case I would recommend breast lift with implants + fat injection for the lower poles of the breasts. Regards.

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, if interested. 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. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Hello and thank you for posting. It can be be improved. Implants with a wide base will help reduce the space between your breast and a breast lift will lift your areolas and will help with symmetry as well.
Basically a breast lift with implants is your best option.

Best of luck,
Dr. Miguel Mota

If you look closely and follow the line created by the two moles near your saggier breast, you'll see that your breasts get closer together as you follow their medial (inner) edge up your sternum. Properly placed implants will enhance that area, where your breast mounds should be. Your actual breast tissue is deflated and the skin is loose, and they are sagging. A breast lift will reposition the tissue and nipples over the implants to complete the transformation. What should not be done is to use high profile or very large implants; this will enhance the width of the gap, contrary to what some people think. The width of the proper implant would match the width of your breast measured at roughly the location of the lower mole. This should give you an acceptable gap that can be narrowed further by a bra if desired.

Based on this photo you may consider breast lift 9at least om one side) and breast implant augmentation. Considering that your breast are set apart, fat grafting of medial aspect and upper pole of breast can further help to shape cleavage and upper pole of breasts. In person consultation with a plastic surgeon familiar with these procedures or teleconference, is recommended. Good luck.

Thank you for sharing your question and photograph.  Unfortunately based on the limited view supplied it is difficult to offer definite advice, but it appears that you would most benefit from implant placement and a lift.  The implant will help restore lost breast tissue after pregnancy and/or weight loss, while the lift will remove excess skin and allow for resizing and repositioning of your nipple into a higher, more youthful, position.  Hope this helps