First, I have to make the usual two disclaimers: 1) At day of surgery, you are extremely early to judge your final results, as we always expect things to change over time as swelling resolves and tissues heal, and 2) It is impossible to make any definitive statements about your breasts without the ability to personally examine them myself. However, just based upon what I see in your preop image and your current day of surgery image, and with the knowledge that you have textured high profile implants, with respect to the specific issue of cleavage, I'm sorry to say, I would not expect that to change very much with time.This is mainly because you had ptosis, or drooping, of your breasts before surgery, and that has not been altered by the use of breast implants. While the breasts are fuller and the upper portion of the breasts has more volume, it is very clear that the nipple and lower breast positions have been unaffected, and the overall tone and position of the breast tissue remains the same. There is virtually no difference in the so-called intermammary distance, the distance between the innermost aspect of the breasts at the fold, and this is one of the primary determinants of cleavage. In addition to this, the implants are textured, and one of the characteristics of textured implants is that they don't move much after surgery because the texture creates friction against the tissue preventing that. Thus, I would expect those implants to remain pretty much where they are now for the long term.While it is not possible to specifically say how the breasts will look a few months from now, I can say with confidence that I expect that they will still have ptosis, and the cleavage will still remain at its current distance. In order to improve that, one would have to directly address the cause of this, namely the ptosis, with an appropriate breast lifting procedure.At this point, the best course of action is to allow things to heal completely, as it is way to premature to plan or execute any kind of revision. Remain in close contact with your surgeon and discuss your concerns openly with him or her. That way, as things progress over time, you can both compare notes, assess your results, and plan for any further action if needed. Best of luck.
