Are my breasts considered to point outwards and therefore will not be able to achieve cleavage regardless of implants? (photos)

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Based on your photos I suspect you will need a moderate plus profile implant. You might even get away with just a moderate profile. Sizers can be used at the time of surgery and your surgeon can then make the final decision. These profiles will be a little wider and be better to get you some cleavage without going too large.

While you do have breasts and a pec muscle anatomy that make cleavage harder to achieve, selecting an implant that controls your breast base and makes it a bit wider, and carefully creating a pocket that allows for maximum  cleavage can go a long way to getting you the fullness in the middle you desire.

Thanks for your question. Yes, the IDEAL Implants are a wonderful choice for women seeking breast augmentation. Your normal anatomy tends to have a little flattening toward the inner-lower aspect and that will likely persist to some degree after the surgery. However, I do think you could have a very nice improvement, including some degree of cleavage. I'd imagine you'd be in the 325-350cc range to increase by about 2 to 2.5 cup sizes. I'd recommend visiting in person with a PS near you. Best wishes

Your chest wall anatomy, particularly the takeoff of your inframammary folds, makes it hard to predict a narrow cleavage result. Your breastbone width and muscular frame may limit how close together the pockets can be made, but if you select moderate plus (rather than high) profile implants that have a slightly wider base width for the same volume, you are likely to be able to get the base width filled out better. The actual size of the implants is determined by a combination of wish photos, sizing kits and simulation software to show you prospective results on a 3D model of your breasts. This helps take guesswork out and gives a more realistic, visual description of the cleavage and shape potential than words alone.