I have a rounded chest. Can I achieve nice cleavage with 650cc moderate implants?

Answers from doctors (9)


Larry Leverett, MD, FACS

Published on Aug 11, 2016

Cleavage is based on the proximity of your chest muscles to the midline and the presence of breast tissue enhancing in that part of your anatomy. It does not depend on the size or shape of the implants, b/c the implants lay against the medial aspect of the "pocket," which is the pectoralis (chest) muscles.

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Answered by Larry Leverett, MD, FACS

Cleavage is based on the proximity of your chest muscles to the midline and the presence of breast tissue enhancing in that part of your anatomy. It does not depend on the size or shape of the implants, b/c the implants lay against the medial aspect of the "pocket," which is the pectoralis (chest) muscles.

Published on Jul 11, 2012


Barry J. Kaplan, D.O.

Published on Jun 02, 2016

Cleavage is not determined so much by size of implant; it has to do with the space between the point where the medial fold ligament joins with the pectoralis major muscle. This space can be narrowed significantly by bypassing this point and going over the muscle, but I would not recommend this.

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Answered by Barry J. Kaplan, D.O.

Cleavage is not determined so much by size of implant; it has to do with the space between the point where the medial fold ligament joins with the pectoralis major muscle. This space can be narrowed significantly by bypassing this point and going over the muscle, but I would not recommend this.

Published on Jul 11, 2012


Kenneth L. Stein M.D. FACS

Published on Mar 17, 2016

It will all depend on your size and how your breasts are shaped on your anatomy. Also, breast ptosis (sagging) will be a factor. It is likely you will have cleavage, but it is best to be evaluated with a personal exam.

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Answered by Kenneth L. Stein M.D. FACS

It will all depend on your size and how your breasts are shaped on your anatomy. Also, breast ptosis (sagging) will be a factor. It is likely you will have cleavage, but it is best to be evaluated with a personal exam.

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on Mar 08, 2016

Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery (regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.

2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile and will most likely help achieve your goals.

In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “very natural” or "C or D cup" 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. Again, the use of computer imaging has been very helpful during the communication process, in our practice.

3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.

I hope this helps.

Answered by Tom Pousti, M.D. (View Profile)

Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery (regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.

2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile and will most likely help achieve your goals.

In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “very natural” or "C or D cup" 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. Again, the use of computer imaging has been very helpful during the communication process, in our practice.

3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.

I hope this helps.

Published on Jul 11, 2012


Stephen Greenberg, MD

Published on Feb 03, 2016

Thank you for your question. Without a physical exam, it is very difficult to determine whether or not an implant will provide you with the cleavage that you desire. Implants, independent of profile, are placed in the breast pocket (primarily in the sub-muscular position) with your areolae as the center point. Depending upon how wide set a patients breasts are, some patients can expect significant cleavage or minimal cleavage from the addition of a breast implant. When an implant is placed, your breasts will appear to be closer together, since the volume distribution will fill out the entire breast. But each patient's definition of 'nice' cleavage is slightly different. Also, please keep in mind that your breast base width will dictate whether a moderate profile, moderate plus profile, high profile or ultra high profile implant would work best for your body frame. I would recommend that any patient interested in a breast augmentation consult with a board-certified plastic surgeon who is well-experienced in these procedures. A physical exam, thorough dialogue and conversation about your cosmetic surgery goals and expectations will best determine what you could expect to achieve from the procedures of interest.

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Answered by Stephen Greenberg, MD

Thank you for your question. Without a physical exam, it is very difficult to determine whether or not an implant will provide you with the cleavage that you desire. Implants, independent of profile, are placed in the breast pocket (primarily in the sub-muscular position) with your areolae as the center point. Depending upon how wide set a patients breasts are, some patients can expect significant cleavage or minimal cleavage from the addition of a breast implant. When an implant is placed, your breasts will appear to be closer together, since the volume distribution will fill out the entire breast. But each patient's definition of 'nice' cleavage is slightly different. Also, please keep in mind that your breast base width will dictate whether a moderate profile, moderate plus profile, high profile or ultra high profile implant would work best for your body frame. I would recommend that any patient interested in a breast augmentation consult with a board-certified plastic surgeon who is well-experienced in these procedures. A physical exam, thorough dialogue and conversation about your cosmetic surgery goals and expectations will best determine what you could expect to achieve from the procedures of interest.

Published on Jul 11, 2012


650cc implants are designed for breast reconstruction. I've never seen a lovely long term result with such implants. Before you have surgery, ask your surgeon to show you good 10-year results with implants that size. Don't proceed until you've seen them. I can show you countless 15+ year follow-ups with sub-400cc implants, but I've never once seen a presentation of long term results of implants that size.

Answered by Steven Teitelbaum, M.D.. F.A.C.S (View Profile)

650cc implants are designed for breast reconstruction. I've never seen a lovely long term result with such implants. Before you have surgery, ask your surgeon to show you good 10-year results with implants that size. Don't proceed until you've seen them. I can show you countless 15+ year follow-ups with sub-400cc implants, but I've never once seen a presentation of long term results of implants that size.

Published on Jul 11, 2012


Robert A. Shumway, MD, FACS

Published on Feb 02, 2016

We have many patient's that have a prominent P.C. I always advise my patients with this type of body structure, your implants will want to fall out to the sides. Implants are heavier than real breast tissue, we always say that "Push up" bras create cleavage.

The wider the diameter of the implant, the more cleavage it will create. Implants are always placed with the areola centered behind the valve of the implant.

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Answered by Robert A. Shumway, MD, FACS

We have many patient's that have a prominent P.C. I always advise my patients with this type of body structure, your implants will want to fall out to the sides. Implants are heavier than real breast tissue, we always say that "Push up" bras create cleavage.

The wider the diameter of the implant, the more cleavage it will create. Implants are always placed with the areola centered behind the valve of the implant.

Published on Jul 11, 2012


Lane F. Smith, M.D.

Published on Feb 02, 2016

Typically, the answer is yes, you can achieve nice cleavage. Depending on the width of your chest and breast, however, you may need a different profile.

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Answered by Lane F. Smith, M.D.

Typically, the answer is yes, you can achieve nice cleavage. Depending on the width of your chest and breast, however, you may need a different profile.

Published on Jul 11, 2012


Gerald Minniti, M.D., F.A.C.S

Published on Feb 02, 2016

If you have a 'barrel' or 'bird' chest, otherwise known as pectus carinatum, you are better off with the most modern implants available (the form stable, anatomically shaped 'gummy bear' implants). These devices are texturized to minimize the lateral migration (implants in your armpits) that is so often seen with your chest shape. Additionally, they are form stable, so they will not expand the lateral poles the way regular round implants would with their less viscous gel.

As for cleavage, you would need to be evaluated to determine how you would look.

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Answered by Gerald Minniti, M.D., F.A.C.S

If you have a 'barrel' or 'bird' chest, otherwise known as pectus carinatum, you are better off with the most modern implants available (the form stable, anatomically shaped 'gummy bear' implants). These devices are texturized to minimize the lateral migration (implants in your armpits) that is so often seen with your chest shape. Additionally, they are form stable, so they will not expand the lateral poles the way regular round implants would with their less viscous gel.

As for cleavage, you would need to be evaluated to determine how you would look.

Published on Jul 11, 2012


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