Will low profile implants give me more cleavage? (photo)

Thanks for including photos! Yours clearly show your concern with breasts that are widely spaced on your chest wall. Breast enlargement with implants will give you larger breasts, and the widest profile implants (least projection for a given volume) will yield the closest cleavage.To some extent, this is size-related. Obviously, large(r) implants have wide(r) base diameters, and when centered properly beneath your nipple/areola complexes, will give a certain cleavage width. The larger the implants, the closer they get in the center, and also the more "side boob" you will have. For widely-spaced breasts, it may take fairly large (even with moderate profile) implants to give you "close" cleavage. Maybe larger than you wish. But small(er) implants still need to be centered beneath your nipples--you can't simply take small implants and put them close together in the cleavage area, or else you get "wall-eyed nipples" that point sideways! Not a good look at all!Since you want only a cup and a half or so of enlargement, this involves implants that are in the 400cc size range (or thereabouts). 420cc Allergan silicone gel moderate profile implants have a base diameter of 14.0cm (the 390cc implants have a 13.6cm base). This would not give you a cleavage that is close, deep, or sharply defined, but you would have enough breast volume to now fill a beautiful push-up bra that can accomplish your goals.Even moderate profile 650cc implants (that would add about 2 1/2 cups to your present size) have a diameter of 16.0cm, but 2cm more per side equals about and inch and a half "narrower" cleavage. But you might now have larger breasts than you wish. Consultation and compromise may be in order here, and the best way to achieve your best cosmetic outcome would be to obtain several consultations with ABPS-certified plastic surgeons who do lots of breast surgery. For some examples of my breast augmentation patients that can help clarify how anatomy plays a role in outcomes, click on the web reference link below. Best wishes! Dr. Tholen

Thank you for your question.It will be very important to communicate your size goals with your surgeon. In my practice I find the use of goal pictures to be very helpful. I have found that the use of words such as “natural” 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. Placing breast implants on top of the skin ( pre-operative “sizing”) is not necessarily accurate either.
You should be prepared to receive multiple different opinions of the best way to proceed. It will be up to you to do your due diligence in the process of plastic surgeon selection. I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.

Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done.

You will find, while doing your due diligence, that there are many different “specialties” who will offer their services to you; again, I strongly recommend you concentrate on surgeons certified by the American Board of Plastic Surgery.
I hope this helps.
---------