Implants are 5 inches apart, surgeon says its caused by rib cage. What would cause gapping in implants? (Photos)

You have not provided before photographs. However, if your breasts were widely separated before implants then the breasts will be widely separated after implants because the implants have to be centered underneath the nipple-areola complexes. At this time, I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

The distance between the implants is due to your anatomy and cannot be changed. This distance is unique to the patient. The implants appear to sit low on the chest wall. If you want a "perkier" look a breast lift would help raise the nipple position and give more upper pole fullness.