I Would Like Cleavage but Have a Wide Sternum - Will I Get Cleavage with 300cc Silicone Overs or is 350cc Better?

If you have breasts that are placed wide apart, a good bra is the best way to create cleavage after a breast augmentation.  Trying to place implants closer together or choosing excessively large implants just to have better cleavage will leave you wishing you didn't do that.

for an augmented breast to look good, the implant should be placed in such a way that the nipple will become the most prominent part of it.  In the case of the round implants, it means the implant should be centred behind the nipple.  In the case of shaped implants, the most prominent portion of the implant should be right behind the nipple.  However if the implants were place closer together in a patient with a wide space between natural breasts, then yes, a cleavage could be created but the natural breast tissue would be falling off the side of the implant and point out laterally.  Not a pretty sight.

Sincerely,

Martin Jugenburg, MD

When implants are placed under the muscle, the cleavage line tends to stay in a similar position. It's possible to thin the muscle slightly during surgery and this helps create closer cleavage. However, the muscle should not be released completely. This can cause problems that are difficult to fix. Another option is to use fat grafting on the inner cleavage to bring the cleavage line closer together. Speak with your surgeon about their thoughts regarding how best to give you the look that you desire.

It’s not unusual for patients to have specific aesthetic
goals for size, contour, and cleavage following breast augmentation surgery. Unfortunately
these aesthetic goals aren’t always easily accomplished and for this reason
comprises may occasionally be necessary. This is frequently the case when
patients are concerned about cleavage following surgery.Poor cleavage can occur for a variety of reasons. In the
majority of cases, inadequate cleavage is related to anatomic considerations.
These include abnormalities of the chest wall, abnormalities of breast contour,
and abnormalities of nipple areola position.Unfortunately your pictures suggest significant lateral
malposition of your nipple areola complexes. This places limitations on the
amount of cleavage that can be obtained with breast augmentation surgery.Increasing the size of the breast implant probably won’t
significantly alter cleavage for several reasons. It’s important to center the
implant directly beneath the nipple areola complex. In an effort to improve
cleavage, implants with wider base dimensions are occasionally used. When these
implants are centered beneath the nipple areola they move the breast laterally
and medially. When patients have laterally positioned nipple areolas, this
results in the breasts protruding in an outward direction to the side.Efforts to create cleavage by moving the entire implant
is an inward direction can result in malposition of the nipple areola complex.
In these cases, the nipple areola would look as if it were sitting the side of
the breasts.Increased breast implant size may not always be the
solution for poor cleavage. If you’re considering breast augmentation and
cleavage is one of your primary aesthetic goals, it’s important to discuss this
issue with your plastic surgeon. Your surgeon should be able to perform a
physical examination and discuss any limitations that might be imposed by your
unique anatomy.