What is the best implant profile for the most cleavage? (photos)

Thank you for your question, while it is difficult to give you precise advice online, in general a moderate Profile Implant will give you more cleavage for the same size implant. I would likely recommend for you to undergo at least a circumareolar and areolar reduction at the same time. You would need an in person examination as well as under go Vectra 3-D imaging simulation for different type and size implants. You may even be a candidate for the new Sientra cohesive gel round base shaped implants. 

The
best way to achieve maximum cleavage is implantation and a lift.I recommend a new technique called Breast
Augmentation with Mini Ultimate Breast Lift™.Using only a circumareola incision it is possible to reshape your breast
tissue creating upper pole fullness, elevate them higher on the chest wall and
more medial to increase your cleavage.Aligning the areola, breast tissue and implant over the bony prominence
of the chest wall maximizes anterior projection with a minimal size
implant.Small round textured silicone
gel implants placed retro-pectoral look and feel more natural, are more stable,
less likely to ripple or have complications needing revision.Implant profile is irrelevant in the retro-pectoral
position since the muscle compresses it.400 cc implants are large, will descend inferiorly and laterally resulting
in loss of cleavage.Best Wishes,Gary Horndeski, M.D.

Dear Jlonhert,   Thanks for submitting your picture. In the picture, you appear to be small A cup with level 2 ptosis ( saggyness ) and large areolas. It is frustratingly confusing to read all the different opinions in regard to your questions. So, the best thing for you to do is due diligence. Check as many websites as you can and find a surgeon that has many before and after pictures of breasts augmentation that are consistent and attractive in your eyes and worthy of your trust. In my opinion, which is based on 27 years of practice and thousands of breasts augmentation surgeries, your best option is sub muscular augmentation with  mini lift . That will give you nice and perky breasts with smaller and more attractive areolas. As far as size, a full C cup is very natural , attractive and  popular. Since you did not provide your chest circumference, let's assume that you are 32 small A cup. To bring you to a 32 full C cup, you will need implants with a volume of, roughly, 375 cc. For a 34 full C you will need 450 cc implants. In regard to cleavage, it has nothing to do with the implants. It all depends on the meticulous dissection of the muscles that are attached to the chest bone. That is why the sub areola entry for the pocket creation is the best for beautiful cleavage since it is done under direct vision and digital feel. Always, consult with experienced board certified plastic surgeon who operates in accredited surgery center for your safety. Check also the 'realself' reviews for positive patients experience which provides important information on the surgeons.                Best of luck,                               Dr Widder

A wider profile implant and larger size may achieve some cleavage in you.  You have some elements of a tuberous breast.  A implant placed over the muscle may be preferable with you.  You may need a circumareolar reduction to improve you breast shape as well.I do tell patients that desire cleavage that cleavage while naked is somewhat uncommon naturally.  Women usually need to wear garments to push the breasts together to achieve cleavage, so that the breasts have a natural shape.Best wishes for your surgery.

Your question is a good one.  Many patients ask about this.  In general, there are several factors that limit the cleavage you can obtain.  Among these is your underlying anatomy, which can only be evaluated with a physical examination by a a board certified plastic surgeon.  Another factor is the dimensions of the implant that you choose.  Again, this is something that is determined by a physical examination, so your best option is to see a board certified plastic surgeon to get answers to your questions.  

A high profile implant will likely be best for your specific needs.  Three dimensional digital imaging in the office can help narrow down the exact implant size that would be ideal for you as well as help you decide whether or not you may need a small lift as well. 

After reviewing your posted photos and text as well as the other experts I must tell you your attainment of a cleavage will be very difficult. Your breasts issues and chest/breast anatomy will not allow a substantial cleavage formation. 

It is best to be seen in person to be properly evaluated.  In some ways your cleavage is limited by your underlying anatomy.  Also, it looks like you need a lift as well. Best of luck.

You are a great candidate for an augmentation and a breast lift. A consultation and physical exam would allow for better evaluation, more information, and more specific advise as to all of your options. A breast aug/lift would cost $6000 plus the cost of the implants. (Saline $1000, Silicone $1500-$2000) The cost includes the board certified surgeons fee, board certified anesthesia fee, and Medicare Approved surgicenter fee. Hope this helps and best wishes.

A textured round high profile implant over the muscle would give the most cleavage.  A shaped implant may give a more natural look.  A periareolar excision may be necessary for slight elevation of your nipples as well as to decrease the diameter of the areolae.  Over the muscle implants also may give the best correction of what appears to be a mild tuberous breast condition.