Breast Implants to Minimize Gap Between Breasts on a Wide Chest?

Unfortunately the most commonly used type of implants (high profile) and the most common type of placement ( submuscular/dual plane) cannot deliver the natural 'tear drop' effect or cleavage that you desire.  Leaving the origination of the pectoralis major medially intact in submuscular placement ensures that the implant cannot be medial enough to look natural, and a flat plateau is left centrally.  There are also big problems associated with anatomic implants placed in conventional planes( they work well in subfascial carefully designed pockets).  This is why I use a very unique methof of breast augmentation that I call 'cold-subfascial augmantation.'  the placement of the implants is not 'above the muscle' or subglandular, nor is it submuscular or dual plane.  A very strong layer of connective tissue is meticulously and atraumatically dissected from the pectoralis major muscle and this tissue is used to shape and support a lower profile implant into a gentle tear drop shape.  It is the surgical dissection and not the implant itself that gives shape to the breasts.  The results sit like natural breasts and do not move like submuscular implants do with arm motion.  The fascia also supports the implant giving it relative protection from gravity and aging.  


All the best,
Rian A. Maercks M.D.

Most of the time the goal is to have a 2 to 4 cm space between the breasts. This can vary from patient to patient. A board certified plastic surgeon can make the distance smaller. If too small there is a risk of symmastia. Each patient's chest wall and soft tissue is different. There is an interaction between the chest wall, soft tissue and the implant itself. This can drive the implants apart at times. Cleavage comes from bras that push together the upper pole. Make sure you tell al of your concerns to your board certified plastic surgeon. Bring photos in if you can find ones that you like. Together you will make a plan.

Thank
you for your question. You are a great candidate for breast implants.
The implants will give you more fullness and rounder breasts. Cleavage
will improve but not significantly because of your anatomy. Choose a
board certified Plastic Surgeon. Best wishes

One of the
most important decisions facing breast augmentation patients is the size of
breast implants that will be used.Most
patients are striving for harmony, balance, and proportion with the surrounding
anatomic structures.Typically, they
want a natural look with some fullness in the upper breast area.Patient consultation is the starting
point for their decision and every effort should be made to have good
communication.Most patients tend to
talk in terms of cup size.Unfortunately,
cup size isn’t always helpful because manufacturers of bras label their
products differently and women don’t always wear their bras the same way.In other words, some women wear their bras
snugly, while others wear them loosely.This creates communication problems when talking cup size.In an effort to determine breast
size in a more objective manner, we utilize external silicone sizers and the
Vectra 3D computer imaging system.External silicone sizers are designed to sit on top of the patient’s breasts.They can be held against the patient’s chest
or placed inside the patient’s bra.This
technique helps the patient visualize what their breasts will look like with a
specific sized implant.It also gives
them a sense of the volume that will sit on their chest wall and how it feels.The 3D Vectra imaging system is a
relatively new technology that we have found to be extremely helpful for
determining breast implant size.This
system allows a patient to visualize different sized implants on their actual
body.Patients find this to be extremely
helpful.The ability to visualize your
projected surgical result alleviates much of the anxiety associated with this
procedure.We feel that both the use of
external silicone sizers and the 3D Vectra imaging system accomplishes this
goal.It’s important to remember that
final adjustments in the size of breast implants will ultimately be made in the
Operating Room, depending upon anatomic factors.

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.  

16-18 sounds a little high from looking at your photo. But an experienced plastic surgeon should be able to give you an idea of the cc's you would need to get to the size you want.

Judging by your photos, I would say that your measurements are not correct and you do not have that wide of base diameter.
To achieve good cleavage I usually recommend going with a breast implant that matches the base diameter. This tend to usually be a moderate profile in saline implants and moderate plus in silicone implants. These implants provide a softer and more natural look with good upper pole fullness and good cleavage.

You have an excellent contour to your breast and are a great candidate for the procedure. From the picture and your bra size, I am very much surprised that your breast diameter is 16-18. I do not bleieve that this is accurate. I would seek consultation with a board certified plastic surgeon to confirm this measurement.
I also tend to prefer the moderate plus for your breast shape.

Your question is a very common one, probably because there are so many examples of augmentations with an unnatural space between the breasts.
The individual's anatomy has a lot to do with it since the implants are usually under the muscle, which attaches along the edge of the breast bone. This limits how close together the implants can be, but also helps avoid the beach ball look so it is important.
Although I can't give you a definitive answer without examining you, it appears that the space you have would predispose to a natural cleavage if the diameter of the implants is right. This needs to be determined by discussion with your plastic surgeon, who will confirm the measurements and discuss size.
There are a lot of options including low profile (for patients with a broad base who want minimal size increase) to high profile (for the opposite considerations) and in between. Try to avoid the temptation to pick your implants based only on pictures and advice on the internet.

The goal for Breast augmentation for most (but not all !) women is a natural breast that "flows" with the chest wall, rather than "breaks" from it in any kind of sharp or unnatural angle.
My opinion is that Breast implant selection is important, but more so is the fit of the implant to your tissues.
The higher profile implants are narrower and rounder, generally doing less to widen the breast and provide the cleavage you said you want.
That being said, a careful sizing process in the office with your doctor will allow the two of you to choose the implant that best matches your body and provides the look you want.