Will 220 CC achieve a small C cup with cleavage? (Photos)

I think my recommended respect is a bit low for the C-cup you want. Especially if you want a nice look in the cleavage area, it would be appropriate to have it bigger and even if possible, a very little fat injection that will make the cleavage area more prominent, which we call hybrid breast augmentation, would be appropriate. With the combination of these two, you can both achieve a nice breast transition. You can also achieve a breast volume that will not look too big on your body.

Thanks for your question! Everyone is different in what implants will achieve; however, generally 100-125cc will take you up a cup size. Therefore, 220cc should be a small C if you are currently an A cup. I would suggest asking your surgeon and doing another careful fitting. Good luck!

Patients often think in terms of cup size when considering augmentation. Unfortunately, devices are sized in terms of milliliters (cc) of volume. This can lead to some confusion when sizing. Additionally, it is important to remember that cup size itself is not standardized with variations from one manufacturer to another. Unfortunately, as many women can attest their cup size in an industry leader such as VS is not necessarily transferable to another brand.
Another point which is often under appreciated is that of anatomy and starting point. Any implant will add volume to the volume which is already present. The implant is additive. A particular volume will not necessarily confer the same cup size to different patients (often times it will not even confer the same cup size to different breasts in the same individual...remember they are "sisters" not "twins").
A general rule of thumb is that 125cc can represent somewhere between 1/2 to a full cup size increase. Smaller volume differentials (25-50cc) are typically less consequential representing a volume change of less than a shot glass. However, I have found these numbers, at least anecdotally, to be of little help. Patients often present with notions/goals which do not correlate with these sorts of sterile volumetric assessments.
When sizing patients, there are a number of useful tools including:
-3D imaging (has the added benefit of offering a volumetric analysis of the pre-operative breast)
-Breast sizers (rice bags)
-Goal photos
I also recommend that patients commit to a particular look rather than a cup size. Once a patient settles on a look that pleases them the overall cup size increase becomes less relevant.
With regards to your specific question, 220SF seems like a reasonable choice. It is difficult to predict cup size with any certainty.
Cleavage is not defined by implant choice but rather anatomy. Wide set breasts will still be wide set post augmentation.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).