Understanding Breast Gap: Causes, Concerns, and Solutions

asymmetrical breast photo
asymmetrical breast photo

Table of Contents

A breast gap, also known as cleavage gap, refers to the noticeable space between the breasts when they are positioned farther apart on the chest.

While the presence of a breast gap is a natural variation in breast anatomy and not a medical concern, it can impact an individual’s body image and self-esteem.

In this guide, we will explore what constitutes a breast gap, the factors that contribute to its development, and how it can be addressed through various treatments and lifestyle changes. 

Causes of Breast Gap

A breast gap is influenced by various factors that determine the position and spacing of the breasts on the chest.

Here are the primary causes of a breast gap:

Genetics

Genetics plays a significant role in determining breast shape, size, and placement.

If other women in your family have a noticeable breast gap, you are more likely to have it as well.

Breast Tissue Distribution

The ratio of fatty tissue to glandular (milk-producing) tissue can affect how the breasts sit on the chest.

Breasts with more fatty tissue may spread out more, leading to a wider gap.

Chest Wall Structure

The shape and width of the rib cage play a crucial role in breast placement.

A wider rib cage can result in a larger gap between the breasts, making the space more pronounced.

Additionally, the way chest muscles attach to the rib cage can influence breast positioning, further affecting the overall appearance of the breast gap.

Breast Size and Shape

Smaller breasts may have less volume to fill the chest area, which can result in a more noticeable gap.

Additionally, the natural shape of the breasts—whether more rounded or conical—affects how closely they sit together.

Variations in size and shape play a significant role in determining the appearance of the breast gap and can influence the overall symmetry and contour of the chest.

Ageing and Skin Elasticity

As the skin ages, it loses its elasticity and firmness, which can impact the shape and position of the breasts.

This loss of elasticity can lead to sagging, making a breast gap more pronounced.

Additionally, the effects of gravity over time cause the breasts to move outward and downward, further widening the gap. 

Posture and Muscle Tone

Poor posture, such as slouching, can accentuate the appearance of a breast gap by causing the breasts to shift and make the gap more noticeable.

Additionally, weak pectoral muscles provide less support for the breasts, potentially leading to changes in their positioning and further emphasising the gap. 

Weight Changes

Significant weight gain or loss can alter the distribution of fat in the breasts, potentially affecting the gap.

Weight loss may lead to a more noticeable gap if breast volume decreases significantly.

Breastfeeding and Pregnancy

Pregnancy and breastfeeding can cause changes in breast tissue and shape, sometimes leading to a wider gap as the breasts expand and contract.

Symptoms of Breast Gap

A breast gap primarily affects the appearance of the breasts rather than causing physical symptoms.

However, the visual characteristics associated with a breast gap can influence how individuals perceive their bodies and how clothing fits.

Here are the key symptoms of a breast gap:

Noticeable Space Between Breasts

The most apparent symptom is a visible space between the breasts when viewed from the front.

This gap can be more pronounced in some individuals, making the breasts appear farther apart.

Outward Pointing Nipples

In many cases, the nipples of individuals with a breast gap may point outward, away from the centre of the chest, contributing to the overall appearance of a wider gap.

Wider Chest Appearance

The breasts being positioned more towards the sides of the chest can create the appearance of a broader chest.

This wider placement can be more noticeable in certain body types.

Clothing Fit Issues

Individuals with a breast gap may find it challenging to find bras that fit well and provide the desired cleavage.

Bras designed to push the breasts together may not be as effective for creating a more centralised appearance.

Additionally, certain clothing styles, especially those with low necklines or designed to emphasise cleavage, might not fit or look as intended, leading to frustration with wardrobe choices.

Self-Consciousness

The appearance of a breast gap can make some individuals feel self-conscious about their body image, especially in situations where their breasts are more exposed, such as in swimwear or low-cut tops.

Impact on Physical Activities

While not a common physical symptom, some individuals might experience discomfort during physical activities due to the lack of central support for the breasts.

This can be addressed with supportive sports bras designed to minimise movement.

Emotional and Psychological Impact of Breast Gap

Living with a breast gap can have significant emotional and psychological impacts on individuals, influencing their self-esteem, body image, and overall mental well-being.

While a breast gap is a natural variation in breast anatomy and not a medical concern, it can affect how individuals feel about their appearance and how they interact with others.

Here are some key emotional and psychological impacts associated with a breast gap:

Low Self-Esteem

Individuals with a noticeable breast gap may feel self-conscious about their appearance, particularly because the wider spacing between the breasts can differ from societal ideals of breast aesthetics.

This can lead to feelings of inadequacy and dissatisfaction with their body.

Social Anxiety

A breast gap can sometimes attract unwanted attention or comments, making individuals feel uncomfortable or self-conscious in social settings.

This discomfort can lead to increased anxiety about how others perceive them.

To avoid potential judgement or embarrassment, some may choose to avoid social gatherings or activities, such as swimming or wearing certain types of clothing that highlight the chest area.

Intimate Relationships

Feelings of self-consciousness about breast appearance can extend to intimate relationships, making individuals uncomfortable being seen without clothes by their partners. This discomfort can impact intimacy and communication. Additionally, anxiety about body image may lead to difficulties in openly discussing feelings and needs with partners, potentially straining the relationship and affecting overall satisfaction.

Clothing and Wardrobe Challenges

Struggling to find bras and clothing that fit well and enhance their shape can lead to frustration and decreased confidence.

Certain styles may not fit or look as intended, resulting in a limited wardrobe.

This restriction can affect how individuals perceive themselves and their ability to express their personal style.

Mental Health Issues

Ongoing dissatisfaction with body image and self-esteem issues can contribute to anxiety and depression, as the constant worry about appearance leads to persistent stress and emotional distress.

This emotional burden can create a cycle of chronic stress, significantly impacting overall mental health and well-being.

Impact on Daily Activities

The shape of the breasts and lack of central support can cause discomfort during physical activities, leading individuals to avoid exercise or sports, which impacts both physical and mental health.

Additionally, anxiety about appearance can affect everyday interactions, from workplace dynamics to casual social encounters, influencing overall quality of life.

Diagnosis of Breast Gap

Diagnosing a breast gap involves a combination of self-examination, physical evaluation by a healthcare provider, and, in some cases, imaging studies to understand the underlying structure of the breast tissue and chest wall.

Here’s a comprehensive approach to diagnosing a breast gap:

Self-Examination

Observation

Observe the position and direction of your nipples; in cases of a breast gap, they often point outward, away from the centre of the chest. Pay attention to the placement of your breasts on your chest; a noticeable gap indicates they are positioned farther apart.

Symmetry

Additionally, compare the shape and size of both breasts. While some asymmetry is normal, significant differences may require further evaluation.

Clinical Examination

Physical Examination

During a clinical examination, your surgeon will perform a thorough physical assessment to evaluate the size, shape, and placement of your breasts, paying close attention to nipple direction and the distribution of breast tissue. They will also examine the skin for signs of irritation, stretch marks, or other conditions that might be related to breast shape.

Medical History

Discussing your medical history with your surgeon can provide valuable insights into factors that may influence your breast shape, such as hormonal changes, pregnancies, or previous surgeries. Additionally, understanding your family history can help identify any genetic factors that may contribute to the appearance of your breasts.

Imaging Studies

Mammography

A mammogram may be recommended to get a detailed view of the breast tissue. This imaging test can help identify any underlying abnormalities or confirm the distribution of breast tissue.

Ultrasound

An ultrasound uses sound waves to create images of the breast tissue. It is useful for evaluating the internal structures of the breast and identifying any issues that may not be visible during a physical examination.

MRI (Magnetic Resonance Imaging)

In some cases, an MRI may be used to provide a more detailed view of the breast tissue and chest wall. This imaging study is particularly helpful for complex cases where a thorough evaluation is needed.

Hormonal and Endocrine Evaluation

Hormone Levels

Your surgeon may recommend blood tests to measure hormone levels, such as oestrogen, progesterone, and prolactin, to identify any hormonal imbalances that could impact your breast shape.

Endocrine Consultation

If hormonal factors are suspected, your surgeon may refer you to an endocrinologist for a more detailed evaluation and management to address any underlying hormonal issues affecting your breast appearance.

Treatment Options for Breast Gap

A breast gap can be addressed through various treatment options. These range from non-surgical methods to surgical interventions, depending on individual preferences and desired outcomes. Here are the primary treatment options available:

Non-Surgical Treatments for Breast Gap

Supportive Bras and Shapewear

Your surgeon may suggest wearing well-fitted, supportive bras to help bring the breasts closer together, enhancing cleavage and improving overall appearance. Push-up bras with padding can create the illusion of fuller, more centred breasts. Additionally, racerback and T-back bras can help draw the breasts inward and provide additional lift.

Breast Taping

Breast taping involves using medical-grade tape to lift and bring the breasts closer together. This technique is often used for special occasions or under specific clothing styles to create a desired breast shape.

Exercises

Strengthening the chest muscles through exercises like push-ups, chest presses, and dumbbell flyes can enhance the appearance of your breasts by providing better support and improving positioning. Additionally, maintaining good posture helps to reduce the prominence of a breast gap and enhances overall breast contour.

Surgical Treatments for Breast Gap

Breast Augmentation

Breast augmentation using implants can be an effective solution for achieving a more centralised and fuller breast appearance. The procedure involves placing silicone or saline implants through incisions made under the breast, around the areola, or in the armpit. The implants are strategically positioned to enhance the shape and symmetry of the breasts, helping to bring them closer together. Recovery generally spans from a few weeks to a few months, during which physical activities are restricted to ensure proper healing.

Breast Lift (Mastopexy)

A breast lift, or mastopexy, is designed to reposition the nipples and breast tissue, creating a more centred and youthful appearance. This procedure involves removing excess skin and tightening the surrounding tissue to improve breast shape. Incisions are typically made around the areola and may extend vertically down to the breast crease. The surgeon lifts and reshapes the breast tissue to achieve the desired contour. Recovery requires several weeks of healing, during which patients are advised to avoid strenuous activities and wear supportive garments to aid in the healing process.

Combination of Breast Augmentation and Lift

Combining breast augmentation with a breast lift offers enhanced results by increasing breast volume while simultaneously improving shape and position. The procedure involves inserting implants to add volume and performing a breast lift to remove excess skin and reposition the breast tissue for a more centred and youthful appearance. Recovery is akin to that of the individual procedures but may require additional care due to the complexity of the combined surgery. Patients typically need several weeks to heal fully, during which they should follow specific postoperative instructions to ensure optimal results.

Which Treatment is Best for You?

The choice of treatment depends on individual goals, breast anatomy, and preferences. Consulting with a board-certified plastic surgeon is essential to determine the most suitable option. Here are some considerations:

Pros of Non-Surgical Treatments

  • Non-Invasive: No surgery or recovery time is needed.
  • Temporary: Ideal for special occasions or short-term use.
  • Cost-Effective: Generally less expensive than surgical options.

Cons of Non-Surgical Treatments

  • Temporary Results: Effects are not permanent and may require ongoing maintenance.
  • Limited Impact: May not achieve significant changes for those seeking dramatic improvements.

Pros of Surgical Treatments

  • Long-Lasting Results: Provides permanent changes to breast shape and position.
  • Customised Solutions: Tailored to individual anatomy and desired outcomes.
  • Enhanced Confidence: Can significantly improve body image and self-esteem.

Cons of Surgical Treatments

  • Recovery Time: Requires downtime and adherence to postoperative care instructions.
  • Cost: Generally more expensive than non-surgical options.
  • Risks and Complications: Includes potential risks such as infection, scarring, and changes in breast sensation.

Combined Procedures for Optimal Results

For individuals seeking both increased volume and improved breast positioning, a combination of breast augmentation and a breast lift may offer optimal results. This approach addresses both the size and shape of the breasts, providing a more comprehensive enhancement.

Post-Procedure Care for Optimal Results and Smooth Recovery

Proper post-procedure care is essential for achieving the best results and ensuring a smooth recovery after undergoing treatment for a breast gap, whether surgical or non-surgical. Following these guidelines can help optimise healing and maintain the desired outcomes.

General Aftercare Tips

Follow Medical Advice

Adhere strictly to the postoperative care instructions provided by your surgeon or healthcare provider. This includes taking prescribed medications, attending follow-up appointments, and following activity restrictions.

Manage Pain and Discomfort

  • Take prescribed pain medications as directed to manage discomfort during the initial recovery period.
  • Use cold compresses to reduce swelling and alleviate pain, as recommended by your healthcare provider.

Maintain Hygiene

  • Keep the surgical area clean and dry to prevent infection. Follow your surgeon’s instructions on how to clean the incision sites and when to change dressings.
  • Follow guidelines on when it is safe to shower and how to protect the surgical area during bathing.

Wear Supportive Garments

  • Wear recommended supportive bras or compression garments to help reduce swelling, support the breasts, and promote proper healing.
  • Initially, avoid underwire bras as they may irritate the incision sites and interfere with healing.

Gradual Activity Resumption

  • Ensure adequate rest and avoid strenuous activities, heavy lifting, and vigorous exercise during the initial healing period.
  • Gradually resume light activities as advised by your healthcare provider. Typically, gentle walking is encouraged to promote circulation and reduce the risk of blood clots.

Specific Care After Surgical Treatments

Monitor for Complications

  • Be vigilant for signs of infection, such as increased redness, swelling, warmth, or discharge from the incision sites. Contact your healthcare provider if you notice any of these symptoms.
  • Report any unusual symptoms such as excessive pain, persistent fever, or changes in breast sensation to your surgeon promptly.

Scar Care

  • Follow your surgeon’s advice on scar care, which may include using silicone sheets, gels, or creams to minimise scarring.
  • Protect scars from sun exposure by wearing sunscreen or covering the area with clothing to prevent hyperpigmentation.

Follow-Up Appointments

  • Attend all scheduled follow-up appointments with your surgeon to monitor your progress and address any concerns. These visits are crucial for ensuring proper healing and achieving the best possible results.

Common Risks and Complications

Breast augmentation, breast lift, or a combination of both surgeries come with inherent risks and potential complications. Common risks include:

  1. Infection
  • Risk: Postoperative infection is a potential risk. Following hygiene and wound care instructions can significantly reduce this risk.
  • Prevention: Take prescribed antibiotics if recommended and keep the surgical area clean.
  1. Scarring
  • Risk: Scarring is a natural part of the healing process, but proper care can minimise its appearance.
  • Prevention: Use scar management techniques and avoid sun exposure.
  1. Changes in Sensation
  • Risk: Temporary or permanent changes in breast or nipple sensation can occur after surgery.
  • Prevention: Discuss potential risks with your surgeon before the procedure.
  1. Asymmetry
  • Risk: There may be slight differences in breast size or shape post-surgery.
  • Prevention: Choosing a skilled and experienced surgeon can help minimise this risk.

Expert Solutions for Breast Gap at Auralia Clinic

At Auralia, we are dedicated to helping you achieve a more harmonious and centred breast appearance. Our team of experienced surgeons is committed to providing compassionate and personalised care tailored to your unique needs. We offer:

– Comprehensive Consultations: We take the time to comprehend your problems and objectives, resulting in a personalised treatment plan that fits your particular situation.

– Customised Treatment Plans: Our treatment plans aim to address the specific factors contributing to your breast gap, with the goal of achieving the best possible results.

– State-of-the-Art Facilities: Our facilities are equipped with the latest technology to ensure your safety, comfort, and highest standards of care during your treatment journey.

– Expert Surgeons: Our surgeons, who have years of experience in cosmetic surgery, are proficient in the most advanced techniques and dedicated to producing exceptional results.

– Financing Options: Auralia can help you spread the cost of your surgery up to 72 months for amounts as high as €15,000. This means you can get the life-changing treatment you need without the stress of paying the full amount upfront. So you can focus on your end results instead of worrying about the cost. We’re committed to making high-quality care accessible to all our patients.

Are you ready to transform your life and gain the confidence that you are entitled to? Contact Auralia today to set up a consultation. Our team is here to help you every step of the way, from the initial consultation to the post-procedure care. We can assist you in attaining the balanced and harmonious appearance you desire.

Breast Gap: Frequently Asked Questions

A breast gap, where there is a noticeable space between the breasts, can result from a variety of factors including rib cage shape, muscle attachment, ageing, skin elasticity, breast size and shape, and poor posture.


You can perform a self-examination by observing the direction of your nipples and the distance between your breasts. For a more accurate assessment, a clinical examination by a healthcare provider can evaluate your breast placement and any underlying factors.

Treatment options include:

  • Chest Exercises: Strengthening the chest muscles and improving posture.
  • Breast Augmentation: Using implants to increase volume and reduce the gap.
  • Breast Lift (Mastopexy): Repositioning the breasts and nipples to create a more centred appearance.

Combination of Augmentation and Lift: Enhancing both volume and shape for comprehensive results.


Yes, non-surgical methods include wearing well-fitted supportive bras, push-up bras, and engaging in chest exercises to improve muscle tone and posture.


Recovery involves several weeks of healing, with temporary restrictions on physical activities. Following post-procedure care instructions and wearing supportive garments are crucial for optimal results.

Like any surgery, there are risks including infection, scarring, changes in breast sensation, and asymmetry. Your surgeon will discuss these risks and how they are managed during your consultation.

Results can be long-lasting, but factors like ageing, weight changes, and hormonal fluctuations can affect the appearance over time. Regular follow-ups with your healthcare provider can help maintain the results.

Choosing the right treatment depends on your individual anatomy, goals, and preferences. A consultation with a qualified surgeon at Auralia Clinic will help you explore the best options tailored to your needs.

If you experience any complications or unusual symptoms after treatment, contact your surgeon immediately. Prompt attention can help address any issues and ensure proper healing.

Breast Gap: The Takeaway

Addressing a breast gap involves understanding its causes and exploring effective solutions. Contributing factors to a breast gap include chest wall structure, ageing, skin elasticity, breast size, and muscle tone. To manage and improve the appearance of a breast gap, consider exercises to strengthen chest muscles and enhance posture, or explore surgical options like breast augmentation, breast lift, or a combination of both. By consulting with a qualified surgeon and following a personalised treatment plan, you can achieve a more balanced and aesthetically pleasing breast appearance.

Are you ready to address your breast gap and enhance your confidence? Contact Auralia today to schedule a free consultation. Our expert team is here to guide you through every step of your journey to achieve the results you desire.

Table of Contents

Related Procedures

Breast Augmentation

RECOMMENDED

Breast Lift

More Inspirational Stories of Our Patients!

Rated Excellent . 143 Reviews

Meet Ireland’s Top Surgeons