Wide Breast Bone, Breasts Wide Apart, Would a Bigger Implant Help to Have Closer Cleavage?

Plastic surgeons must respect normal anatomy of our patients.  Your natural wide distance between your your breasts are not correctable by breast augmentation surgery.  Trying surgically to close this distance is fraught with possible complications.

Dr. ES

There are a few things that a surgeon can do to try and minimize the wide gap in patients that are prone to it...Not over dissecting the side, moving the pocket over toward the middle a bit, and getting the base width right (and high profile implants actually are WORSE since they are more narrow, exactly what you don't want)..But some patients are still really hard to correct, so discuss all of this with your doctor..They'll know if you have a higher risk or not.

Cleavage is defined by your anatomy. Patients with very wide chests often do not get as much cleavage as they want and certainly whent he implants are placed under the muscle, the cleavage is limited by the muscle insertion.  Sometimes wider implants can give a bit more cleavage.

Great question. The BEST you can do is get an implant which can first be covered by your present breast. That would get you a nore natural feeling breast. Within the group of implant applicable to you, the most attractive would be the Moderate Plus implants (Mentor saline) or Allergan style 15 (gel) or Mentor HP (gel). The slope of your chest would determine how the implants are positioned on the chest and the worst thing your surgeon can do after choosing implants which are much wider than your present tissue cover is over-open the side of the breast implant pocket. This would allow the implants to fall away from one another further increasing the distance between them.

The best way to address your situation is to pick implant that fit you AND to narrow the cleavage by placing fat grafts under the inner skin of the breasts.

Peter A Aldea, MD

Thank you for the question.

It will be important to communicate your goals with your plastic surgeon. He/she will choose implants  that will meet your goals as much as possible,  without causing complications such as implant malposition and/or rippling/palpability  that can arise if surgeons try to “create cleavage”.

Careful attention to creation of the breast implant pocket will help center the breast implants under the breast tissue. Choosing a breast implant size that fits, but does not exceed, the limits of the breast implant pocket will help you achieve as much  cleavage as safely possible.

I hope this helps.