Which is better for more cleavage. .. moderate plus or high profile 650cc silicone implants? (photos)

Hello. This depends on your measurements and perhaps the breast implant size. The best advice on this is from the PS who has examined you and measured you breast anatomy. Best, Dr. ALDO.

Your preoperative photos show a previous lift and implants. Going lager with a simultaneous anchor lift will lead to scar and healing challenges. I would advise you to stage these procedures and space them out by 6 months. Good luck and be well.

Thanks for the very interesting questions/issues presented. I am quite concerned that using that larger volume would cause a severe scar issue if doing an anchor lift simultaneously. I recommend doing the full anchor lift first than waiting 3 to 6 months and placing a large volume implant like 700 cc's. Just my over the internet opinion.. As for the diameter of the implant, I base that on the chest wall width and the desired appearance. If you want the more projected implant than use HP or UHP. I prefer the projection with cleavage effect so I would use the moderate + ... 

michelle,A  couple of key points. First of all, with a more complex lift, the larger the implants the more tension there is going to be on the lift incisions, and thus the more potential for unfavorable scarring of those incisions under tension as well as the potential for wound disruption when oversized implant size is coupled with operative swelling for the lift. Weigh that issue carefully when proceeding.  Also, the implants alone are not going to define your cleavage.  The development of cleavage is not as easy as moving the
implants closer together, or using larger implants, for that matter. It
is the starting point anatomy of your chest wall, including sternal width,
projection and lateral chest wall slopes that are primary determinants of
cleavage, coupled with equally important issues of starting point beast
anatomy, including nipple and breast base position and separation, soft tissue
volume of the breasts, and soft tissue transition from the breasts across the
breast bone. Starting point fold shape also defines the shape of your
cleavage, as some breasts have folds that run closely parallel for a long
distance, whereas others have folds that immediately diverge away from each
other. The latter is particularly common in chest walls that have a
prominent sternum and steeply sloped lateral chest walls. Your present and future
implants are separated by the origins of the pectoralis muscles that attach
along both sides of the breast bone, further defining the present distance
between your breasts.The worst thing
that can be done to "improve cleavage" is release of the medial
muscles, however, as that leads to excessive thinning of the medial tissues
with tendency to rippling at best, and medial migration of the implants,
lifting the sternal skin and creating symmastia at worst.  More projecting  narrower implants (HP, UHP) also tend to accentuate the space between the breasts.  Discuss these
issues carefully with your surgeon and most importantly set realistic goals and
expectations as any other approach will lead to disappointment, and potential
problems. I have a thorough discussion of cleavage determinants on the
linked page below. I hope that this explanation helps.