Many women are concerned with obtaining the exact or perfect cleavage. No one wants to have breasts that look like Posh Spice or Tory Spelling. I try very hard to maximise the cleavage or reduce the gap in all my patients during the breast augmentation operation. The range for a good cleavage is 1.5 cm to 2.5 cm. Anything less is achievable but at risk of damaging the muscle or breast tissue creating Symmastia or Monoboob. Anything more can create patient anxiety and dissatisfaction. When I mark the cleavage area before the surgery I take note of 2 important parameters: The muscle take off Exact breast width or breast plate Then the width of the breast implant is paramount in obtaining a close cleavage. Please note that one of the most important aspects of breast augmentation surgery is the position of the Breast Fold/Height vs Breast Width. In most women seeking boob job, the Width is much more than the Height and therefore it may be that they will get a better outcome with an oval shaped Anatomical (teardrop) implant.