I have been told in my consultations that the gap or position of the implant can not be affected by the surgery, this is ALL dependant on how your breasts look before.
I find this an interesting read from an article found on the internet…
Another word about the space developed behind the breast and perhaps behind the pectoralis muscle for implant placement. This space is often referred to as a “pocket” for the implant. The location and size of the pocket are important. Attention to detail during your procedure contributes to subtle aspects affecting the quality of your result. During surgery, if the bottom of the pocket is opened too widely, implant position may be too low. If the bottom of the pocket is not opened sufficiently, implant position may be too high. If the pocket is too large, the implant may displace. If the pocket is too small, edges of the implant may be visible, and the small pocket may squeeze the implant causing visible rippling or wrinkling. If the implant is submuscular and the inner edge of the pectoralis is not divided enough, animation may be excessive, and/or the implant may laterally displace (move to the side) producing a wide space between the breasts. If the pectoralis is divided too much, the lower inner edge of the implant may end up beneath skin only, resulting in visible rippling and wrinkling exactly where many women want a sexy and beautiful cleavage.
Other elements, most notably your skin elasticity and how much your skin stretches after surgery, affect breast augmentation results, but can be unpredictable and uncontrollable. In any case, because of all these variables, your surgeon must develop your breast implant pocket extremely carefully for the best outcome.