There are three main techniques I use to create a tight cleavage, which seems to be a common request we get asked about. First thing, I choose an implant that’s wide enough to fill the breast envelope. Second, I use a medial dual plane technique to use the muscle to push the implant medially. Finally, to get that last few extra millimeters, I will fat graft along the medial cleavage lines to add some further volume here.