American Society of Plastic Surgeons
For Medical Professionals
 
EmilyG
one year ago
Answered

Cleavage Augmentation

Born with naturally wide-apart breasts. Is there a way to bring them closer together?

Procedure: Breast Augmentation
Type: Question

Replies 8

Rahul Vemula
ASPS Surgeon
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Thanks for your question. Without examining you, it’s hard to give you a definitive answer. However, in order to improve the appearance of your cleavage, you would probably benefit from fat grafting, +/- implants. Please consult with a board certified plastic surgeon who will be able to best assess the proper procedures to achieve your goals

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Barry Citron
ASPS Surgeon
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I concur with Dr. Vemula’s excellent response.

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Suzanne Trott
ASPS Surgeon

Unfortunately no, there is no procedure to move your breasts closer together. But as the other surgeons have stated, fat grafting could help narrow cleavage and breast implants can increase it as well. However, a breast implant has to sit in the middle of your breast, so it must be as wide laterally as medially to keep the nipple in the center. If you have implants that are placed too close together the nipples will be pushed out to the sides and a lot of problems with the shape of the breasts will occur. The “footprint” of your breast must be respected.

Also your breasts may not be as far apart as you think. Two fingerbreadth’s width is the normal aesthetically pleasing distance between the breasts. More cleavage than that is actually less youthful. I hope this information is helpful.

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Susan Buenaventura
ASPS Surgeon
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Hello I also agree with Dr. Vemula's answer. It is important to respect the natural border of your breasts and it's not really possible to force the implants to sit closer together. Fat grafting can help fill in the inner part somewhat. Other things that can help are putting in a wider implant to fill in the full space and limiting the lateral dissection during surgery to keep the implants closer together. Hope that is helpful!

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Benjamin Van Raalte
ASPS Surgeon
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To improve breast that have a wider breastbone either fat grafting or implants over the muscle are the best options. Implants under the muscle have advantages but unless you already have cleavage they do not help a wide breast bone. Fat grafting requires enough available fat to graft, and fails about 15 % of the time.

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Nelson Castillo

Thank you for sharing your excellent question. Although breast distance is largely governed by the width of a patient's breastbone, a wide chest can be camouflaged with implants and fat grafting. Hope this helps.

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Richard Baxter
ASPS Surgeon

Several things can contribute to the appearance of breasts being far apart, especially the shape of the rib cage. Nipple position is important as well. In general, the options would include implants with a wide enough diameter to add fullness where you need it, and/or fat grafting. In some case a variation of a breast lift would be needed, possibly with an internal bra.

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Jon Harrell
ASPS Surgeon
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Your concern is not unusual. Some patients can be helped with a breast augmentation with implants or possibly with some fat grafting - perhaps even a combination of the two. However, there are limits as to what can be done in any given patient and only an in-person consultation will give you the best idea of what your options are. Best of Luck

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