I am 24 years old, and had saline implants at 19. My natural breasts (before surgery) sort of faced out, not forward. Now that I have larger breasts, I can really tell. When not wearing a bra, I have no cleavage because of the way my breasts lay. When I lay flat on my back, my breasts fall to the sides. I'm wondering, when I have to get my implants replaced, is there anything the surgeon can do to help with the placement of my breasts so they are more forward facing?