Cleavage Question

[Karebear]

I hope you can help since my PS left me even more confused...
I had a BL/breast augmentation in 2007 with 510cc mod saline unders. They were way too big 34E/F, I never had cleavage and after they dropped I had no upper pole fullness either. Apparently my skin stretched with the weight of the implants as well. Had a redo Feb 2008 with a re-lift and 390cc mod saline unders. I am much happier with the size. They look smaller from the front (I think because they go out to the sides), but they are DD's. I am unhappy with the shape, the lack of cleavage and upper pole fullness. I know my natural breasts grew outwards too and that has a lot to do with it, but does that mean I will never have what I am looking for? I would like a rounder breast with a full upper pole and decent cleavage. I just talked to my PS about a revision, wondering if he could tighten the pocket on the outside and bottom (right now my breasts fall into my armpits when I lie down). He doesn't think that is the problem and wants to relift (again!) and swap my 390's for 450's. How will this help when I had 510's and still no cleavage? And how is it that I would need a 3rd lift in less than 2 years? Did he not lift enough to begin with? Or is it really my body? He also suggested going over the muscle to get them closer. I don't know that I am comfortable with that either. If it helps I am 5'5" with a 31.5" ribcage. My pre-breast augmentation breasts were deflated C's. I have included pics of pre, post 1st time and now. Sorry so lengthy, I appreciate your time and any insight you may be able to provide. Thank you so much!

[Dr. Kearney]

Send your pictures to my website at info@kearneymd and I will look at them tomorrow. It is a hard question to answer without pictures
thanks, RK