How can you create cleavage for wide set breasts? (Photo)

Thanks for your question.  Your plastic surgeon can insert the implants slightly closer together to give more fullness in the central chest, but they also need to consider your anatomy when deciding where to make the pocket for the implants.

A bra will create some cleavage and implants will help. However, be careful what u wish for as I have seen a "uniboob" known as symmastia from over zealous placement of the implants towards the middle.  A board certified plastic surgeon can help you achieve the best possible look for your anatomy. 

Yes, it can be done by modifying the pocket of the implant. Widening the middle aspect of the pocket, to make them get closer,  and closing the pocket in the lateral side to avoid displacement to the sides.

Cleavage can not be achieved on every person with breast implants, but it is important to pick a size and type of implant that would give you the best chance at cleavage.  Typically that means a larger size implant with a broad base diameter.Based on your photos, your breasts are wide apart, but should be able to create cleavage with a proper sized implant.  However, your nipples point out to the side, that cannot be changed, it is just something you will have to live with.Good Luck!

Thank you for the question. You are correct, generally speaking, that a patient's anatomical “starting point” will play a significant "role" in the outcome that you can expect with breast augmentation surgery.  Careful breast implant pocket dissection and judicious selection of breast implant size/profile will help decrease the space between the breasts as much as safely possible.  On the other hand, over dissection (in the attempt to improve the "cleavage area") or the use of  breast implants that are too large for the patient's dimensions, can be problematic,  resulting in the need for revisionary breast surgery.

Of course, your chosen plastic surgeon will be able to give you a good idea of what you can expect during the consultation process. Demonstration in front of a full-length mirror and/or viewing goal photographs will be helpful during this communication process. In my practice, I find the use of computer imaging very helpful during this communication phase. In other words, helping patients achieve a sense of realistic expectations is an important part of the preoperative process.

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. In bra sizers can be useful communication tools also. I have found that the use of words such as “natural” or "C or D cup" etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup size may also be inaccurate. The use of computer imaging may be very helpful during the communication process.
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, and the attached link (dedicated to breast augmentation surgery concerns), helps. Best wishes for an outcome that you will be very pleased with.