Cleavage and closing the gap (Photo)

Cleavage lines are very dependent on preoperative anatomy. You have pretty distinct lines and they will likely get fuller. If you're active and looking for a more natural result I would think a moderate or moderate plus implant would be better for your cleavage. Are you planning on getting a lift as well?

If you're not feeling confident with your current plan maybe get a couple additional consultations to make sure all your questions are answered and you're going to get the result you want and/or have reasonable expectations about what you're anatomy can achieve.

Dear Eclectic223178,
many women seek improved cleavage. Narrowing the cleavage plane can be done very carefully by a skilled surgeon. Moving the implants too far medially can result in synmastia or unaboob which is very difficult to correct. That being said, the right amount of pocket dissection and implant selection can create excellent cleavage. 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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

A vertical mastopexy (lollipop lift) with a modest sized implant will significantly help shape, improve your cleavage and tighten your breasts. See attached reference. Thank you.