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Lowering or Raising Breast Crease During Breast Implant Replacement?

When replacing breast implants with larger or smaller implants, does the fold need to be lowered or raised? Is it always necessary? Can it cause complications? Thank you.

Doctor Answers 4

Fold position

Most of the time I do not change the folds higher or lower, because when it is manipulated, it can lead to problems like bottoming out or even a double bubble.

New York Plastic Surgeon
4.0 out of 5 stars 22 reviews

Leave the breast fold alone

One the inframmary crease has been violated (breast fold), symmetrical restoration with the opposite side is difficult. I would recommend that the inframammary crease be left alone during initial or secondary breast augmentation. 

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 20 reviews

Lowering or Raising Breast Crease During Breast Implant Replacement

IN GENERAL: The crease is lowered with placement of larger breast implants andsmaller implants.  the crease may be raised wtih downsizing. Risks include failure to sustain the new position of the crease.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 60 reviews

Raising or lowering the fold in implant replacement

Hi Josie22. In some cases, the fold does have to be raised or lowered. It is difficult to control the level of the fold surgically, and so it is usually done only when absolutely necessary. For example, if the fold is lowered, over time it can be too low. When trying to raise it, sometimes it will stay in the new, elevated position. Just because the implants are being changed for a different size does not mandate that the fold needs to be manipulated. It is a question of the diameter of the implant and the distance you have between the bottom of the areola and the fold. Hope this helps.

Tracy M.Pfeifer, MD, MS

Tracy Pfeifer, MD
Manhattan Plastic Surgeon
5.0 out of 5 stars 24 reviews

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