This comes down to assessment and then choosing the right implant to fill out your breast envelope. We need to choose an implant that’s wide enough to create a side boob and cleavage lines, as well as one with enough projection. In addition, placing the implant in a custom dual plane pocket will help control the position of the implant and where the maximum projection is created. This is particularly important where there are some chest wall deformities and also in the setting of some minor droopiness. Finally, fat grafting, particularly in the cleavage area, can add some additional fullness, particularly in thin women.