Would high profile or ultra high give me the fullest looking cleavage? (photo)

Dear alicemay92,Implant profile is a very important consideration. Many patients wrongly assume that the higher the profile the better. The truth is, the more profile (or projection/height) and implant has, the narrower its base has to become. This has several problematic consequences. The first is that the patient loses width and therefor cleavage of the breast. The second is the breast becomes more narrow and pendulous, often falling lateral and onto the side of the chest, and third, high profile implants have a higher risk of bottoming out because they exert more pressure on the inframammary fold than moderate profile implants. High profile implants do have a role in symmastia repair (when I need to narrow the basewidth) but otherwise I try to avoid them.Daniel Barrett, MD

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for breast augmentation with implant high profile in your case for best result you can apply for position sub glandular .answering your question its not depend of the implant its depend of the skin.its recommended if you get a consultation in person with a plastic surgeon to determinate how many cc do you need to the better results.

Implants
alone will not give you the cleavage you desire.  You need a simultaneous lift and the
technique I recommend is a modified Benelli. 
Using a circumareola incision, your breast tissue is reshaped creating
upper pole fullness, elevated higher on the chest wall and more medial to
increase your cleavage.  Vertical scars are
avoided, nipple sensation and the ability to breast feed are maintained.  At the same time or later, implants are
placed retro-pectoral.  Aligning the
nipple, breast tissue and implant will give maximum projection with smaller
implants, which are mechanically more stable. 
Best Wishes,Gary Horndeski, M.D.

Hello and thank you for your question. You are a great candidate
for a breast augmentation.  You have a wide chest wall.  It will be important to select an implant which will fill out the diameter of your chest wall and breasts.  Ultra high and high profile have smaller diameters than for example moderate profile plus.  The size, profile, and shape of the
implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon. 
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

As some of my colleagues have already suggested, your best answers are going to come from further discussion with your plastic surgeon, which I would encourage you to have as long as you remain uncertain. Your role should not be to decide if you need a high profile or ultra high profile implant. It is not quite as simple as that in terms of achieving the "best cleavage". Allow me to suggest that you want the best possible overall outcome, not necessarily the best cleavage, or the largest breasts. Aesthetics play an important role and your sense of aesthetics needs to align with that of your plastic surgeon's. but the single most important mode of communication between you and your plastic surgeon is the use of images of what you consider to be your ideal or favorite. You are correct that there are certain anatomic limitations based on your own starting anatomy, but you would be surprised how much can indeed be accomplished with a well planned and expertly performed breast augmentation. The "fullness" of your breasts can be accomplished with many different implant sizes. The secret to a successful outcome is a happy patient, and this is most likely to be accomplished with adequate communication between the patient and her surgeon. As a rule, the greater your projection, the narrower the base width or diameter of your implants, which means that your breasts can still look far apart, yet be highly projecting. This generally results in a very fake look, which most women wish to avoid. Yet words like "natural" and "proportionate" and "pretty" and "sexy" can mean different things to different people. Again, photographs are far more objective than language, which can be very subjective. Best of luck to you. 

Patients must understand the limits of the surgery. Implants will not create cleavage in the sense that they cannot medialize wide or lateral set breasts. The implants will be centered on your native breast mound which may seemingly worsen the wide set nature of the breasts without actually changing the measurements. It is often helpful to think of breast augmentation as a magnifying glass or IMAX screen where all aspects of the breast are enlarged (+) and (-).
One option for creating a more central or medial mound is subglandular augmentation. In this scenario, the medial boundary as defined by the pectoralis muscle attachments to the sternum are not present. This can allow for greater medial dissection and by association greater cleavage (not recommended). However, this does in crease the risk of symmastia. There is also the risk of deformity which stems from failure to center the implant on the native breast mound.
Ultimately, cleavage is essentially a function of the anatomic starting point. If you have wide set breasts, implants are only likely to accentuate this deficit. However, patients with closely spaced breasts will accentuate their cleavage via augmentation.
In my practice, most patients do well with a mod (+) profile device. Those with a narrower frame may choose a higher profile device for greater projection and volume at a given width. An ultra high profile would be further along on this same continuum. Fullness will change with greater volume, cleavage will be unaffected (outside of a support garment).
As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Hi. The most beneficial to you will be the high profile, even though you already know the gap between your breasts can not be corrected  since is your natural breast position. This implant will fill your upper and lower poles.
International Member of the American Society of Plastic Surgeons (ASPS)
Member of the International Society of Aesthetic Plastic Surgery (ISAPS)
Member of the International Confederation of Plastic, Reconstructive and Aesthetic Surgery (IPRAS)

Hello Alice,If you are asking questions like this, I would say that you really need to have another consultation with your surgeon before going ahead with things.This is a big decision and one that should be decided ahead of time and you need to be comfortable with the profile of the implant that you choose.You have pointed out that you have a naturally wide cleavage and this is difficult to improve upon.An ultra high profile implant will give more fullness to your breast and will be more rounded.  It will also be larger for a given base width.You need to think about what sort of 'look' you are after to decide whether it is a high or ultra high profile implant that would suit you.  This is best done with your plastic surgeon who will know the dimensions of your breast and be in the best place to help you decide so that you get the result that you are hoping to achieve.Good luck.

Thank you for the question. There are several steps taken to select a specific size/profile breast implant for a specific patient. The difference between the different profiles of breast implants available have to do with the dimensions (diameter and height) of the implants. 
 I prefer to have a wide selection of implants (all profiles) available in the operating room. I use intraoperative sizers and place the patient in the upright position to evaluate breast size. Use of these sizers also allow me to select the breast implant profile (low, moderate, moderate plus, high-profile) that would most likely achieve the patient's goals. The patient's goal pictures are hanging on the wall, and allow for direct comparison.
I have found that this system is very helpful in improving the chances of achieving the patient's goals as consistently as possible.
Ultimately, careful selection of plastic surgeon and careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, in bra sizers, and computer imaging) as well as careful measurements (dimensional planning) will be critical.
Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:
1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural” or "C or D cup” or "fullest looking cleavage" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.
I hope this helps. Best wishes.

Hi and welcome to our forum.
When selecting implant size, one must look at the base diameter of the implant. It should be ~ the diameter of the breast from the lateral aspect of the sternum to the lateral chest wall. The higher profiles give you more projection....,.and thus more cleavage. As you desire superior pole fullness, consider a round implant. 
Best wishes...