Is there any way that I can get the upper pole fullness without high profile implants?

Hello, Thank you for your question. It is hard to say without photos. There are a few different profiles of implants: Low Plus, Moderate, Full, and Extra Full Projection. In order to correct wide cleavage I recommend a Composite Breast Augmentation, which includes fat grafting to the breast along with an implant. It is important that you are consulting with a Board Certified Plastic Surgeon and one that specializes in breast procedures. 

Thank you for your question.Breast implants give upper pole fullness no matter what the profile of the implant. They are designed to give fullness in areas, where we lack. If the implant is placed under the muscle you will gain fullness up top. I would need to see photos to give a better recommendation on size or other profile.

Fat transfer to the breasts can be used to correct asymmetry, improve asymmetry, augment overall breast size, and also correct rippling from breast implants. In general, 200 cc per breast is typically the upper limit of fat injection recommended by most plastic surgeons. It is not that more cannot be injected; but on average, this has been determined to be the most that can be expected to live during one transfer. In general, 50% of the fat transferred survives.  Multiple transfers would be required for additional cc's. In general, the abdomen and thighs are preferred donor sites but fat from other areas can be used. I use one small incision under each breast to make the scar as minimal as possible and then inject the fat wherever it is needed. Consult via email or Skype with a board certified PS to provide more information regarding the results you are seeking.

The technique I recommend is a lift using The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  Later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices.  8% fail within the first year and 30% fail in six years.  Fat transfers are permanent and incorporated into the body.Best Wishes,Gary Horndeski, M.D.

Hi there,High profile implants have a smaller diameter and a larger amount of projection. Moderate or moderately-high profile implants will give you more cleavage and upper pole fullness. Discussing a desired outcome with your plastic surgeon should result in the appropriate implant choice based on your body, your goals, and your breast shape. 

After I measure and discuss goals with my patients, we then look at pictures of former patients with similar measurements with different size and style breast implants. My patients tell me that this process is very helpful in determining what size breast implant is right for them. They also get to see what they would look like when the implants have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. 
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author                                 
RealSelf Distinguished Hall of Fame Inductee

Dear susiequtesies,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for sharing your question.  Unfortunately without photographs or an in-person examination of your tissues it is difficult to offer definite advice.  Other options do include fat grafting to the upper portion of each breast if you'd like to add volume.  Best wishes!

SusieI appreciate your desires, however photos would be needed to provide a more detailed recommendation. If your natural anatomy already has your nipples pointing outward, Increasing your breast size with implants will probably make them appear to be facing even more outward after surgery. High profile implants will probably even increase this appearance. Consult with a board-certified plastic surgeon in your area to confirm my advice. Good luck.

Upper breast fullness can be achieved in several ways, but placing the implants behind the muscle is one of the best ways.