Would a bigger implant (550cc) and periareolar lift help add volume for a fuller cleavage? (Photo)

Dear rym237,
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

You need a lift. Adding volume will not rise your breasts. Going larger stretches your tissue, especially the areolae, more and they may need to be tightened as a second procedure.

Larger implants do not equate to more cleavage. I would highly recommend downsizing to a smaller implant, anchor type mastopexy (you have to have this performed to address the vertical and horizontal excess in the breast), Galaflex scaffold to support the implant, and breast fat grafting. Breast fat grafting is the only way to actually increase cleavage.