Will High Profile Breast Implants Give Me Cleavage and Roundness?

I have had one surgey already in jan this year to fix my breasts that were differant sizes my first augmentation was 2 lowprofile implants 350cc i found they were not big enough and they gave me no cleavage.

i am going back in 4 a 2nd one in 2 weeks now i have decided to go with HIGH PROFILE IMPLANTS 450CC i cant seem to find any info on them and i need to no if that is wat is going to give me cleavage and the roundness but i dnt want them not to suit me please can u help. also i am 28 years old and are of medium build. i would also like to no if i lose weight will they look bigger or smaller??? thank u

Doctor Answers 19

Your valid questions and concerns should be discussed with your surgeon

Hello Dayna,

It sounds like you have very valid and practical questions concerning your implants. I urge you to discuss your concerns with your plastic surgeon and let him help you decide what size and shape will give you your desired outcome. I always say that communication with your physician is ESSENTIAL to a great surgical experience--and you deserve that!

Englewood Plastic Surgeon

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It all depends on your body shape and tissue quality


It it hard to give you specific advice on breast implants without examining you and/or seeing pictures. The high profile implants will give you more projection for a given volume.

However, the final shape really depends on your body shape and tissue characteristics. For your other question, loosing weight, will make the implants look larger since the implants will stay the same size while your body will be smaller.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 61 reviews

No, they will give you more projection for the same volume

The key in implant selection is proper sizing. The width should be measured to give adequate cleavage. Cleavage is also affected by the amount of breast tissue you have before the surgery, the width of the breast bone, and whether the implants are above or below the muscle.

Roundness will also be affected by the style of the implant (round or teardrop), type of implant (saline vs. gel), and the width. The wider the diameter there may be more cleavage and roundness. Saline tend to be more round than gel , but gel have other advantages.

The projection of the implant helps determine final size or volume of the implant. After selecting the correct width, a patient that wants to be smaller and less noticeable will be best served with a lesser projecting, gel implant. Someone who wants to be significantly larger, and has adequate skin (not too tight) would then have a high profile implant. A common indication is someone with a narrow frame that wants a full C cup, usually will need a high profile implant.

The surgeon needs to examine you and help you determine which implants will fit, how they might fit, and to help you decide how best to obtain your objectives. In addition he should describe the risks.

Benjamin Van Raalte, MD
Davenport Plastic Surgeon
4.5 out of 5 stars 18 reviews

High profile implants will have less diameter and more projection

It is important to understand the difference between low and high profile implants to imagine the results that you will have following surgery.

Your current 350cc low profile implants have a wider diameter and lower projection. They fill more of your chest diameter without giving you projection.

Replacing the 350 with a 450 will give you a little more volume but mainly an increase in your profile which seems like what you want.

The choice of the new size is very dependent on your current breast measurements. Your board certified plastic surgeon will be able to show you the different options and what would best fit your anatomy.

In general I use high and moderate plus implants, they tend to give a nice projection.

The changes in your breast shape following weight loss will be dependent on the amount of weight loss and the percentage of glandular to fatty tissue in your breast.

Hisham Seify, MD, PhD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 7 reviews

Are High Profile Implants Best For Cleavage ?

The question is straightforward but the answer is not. It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon especially when it comes to cleavage issues. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the link below.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 59 reviews

Cleavage depends on your natural breast positioning

Post-operative cleavage will depend on your pre-surgery cleavage. You have wide-set breasts, which means you'll probably continue to have wide-set breasts after surgery. However, while you may have a bit of improvement, it may not be as much as you want. Unfortunately, your surgeon can only do so much to give you cleavage before it looks abnormal, since the implants have to remain centred underneath your nipples.  

High profile implants!

High profile implants have more projection and thus will give you more upper pole fullness and cleavage than other profile.  

Implants For Cleavage & Roundness

         Cleavage will not necessarily be helpful by utilizing high profile implants for a variety of reasons. Cleavage occurs because of a narrow gap between the medial borders of the two breasts.


         The patient’s baseline anatomy is the most important factor in determining whether cleavage can exist. In some patients with laterally displaced nipple areola complexes cleavage may not be possible. In this situation, the implants must be centered beneath the areola. This will often result in widely spaced breast mounds.


         In other cases, underlying chest wall deformities can impact cleavage as well. Cleavage may be unattainable in patients who have prominent sternums with a downward lateral slope.


         Unfortunately, the choice of implant may not significantly impact the problem. High profile implants have relatively narrow base dimensions and probably would not alter cleavage. These implants create more anterior breast projection and upper breast fullness.


         If you have questions regarding this topic, it’s important to consult a board certified plastic surgeon. This surgeon should be able to help you formulate an appropriate game plan.

Choosing medium or high profile breast implants

Cleavage is more affected by the ultimate positioning of the implants, medial release of pectoralis muscle fibers, genetics, and volume and dimension measurements of the implant with respect to your breast size and shape. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 57 reviews

How to Select the Profile of Your Breast Implants

This is actually a very common question. The profile of the implant describes the width and projection of the implant. So a low profile implant is much wider and does not project as much.  A high profile implant is much more narrow and projects more. The implant profile is chosen based on the measurements of your chest and the look you are looking to achieve.

Without examining you, I am unable to say which is best for you. You want to be sure that the implant is the appropriate width so that your results look natural. If you are looking for more volume, you may need to increase the number of cc's. Also it is important to note that your cleavage is also dependent upon your body shape and your breast tissue. If your breasts were further apart before surgery, implants are not going to create the type of cleavage you may see in magazines. To create this type of cleavage, you may consider several types of push up bras. 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.