Can Inframammary Fold Be Sutured to Fit Smaller Implant?

If my natural inframammary fold was lowered and the sides of my breasts where made wider to fit the diameter of my 500 gram implants, can they be sutured successfully to fit the smaller-diameter implant(425 grams), resulting in breast thats don´t look to wide and low? Is the result permanent? Meaning that the weight of the implant won´t make it big again? Thanks for all your valuable answers.

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13 Doctor Answers | Asked by mariana in colmbia

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Pocket revision is possible

There are two ways to handle your problem. The first is to remove your implants and stitch down the pocket so that the smaller implant doesn't sit too low and lateral. The second way is to remove the implants, obliterate the extra pocket and go back in after 3 months of healing with the new implants. Obviously the first is more attractive because it only involves one operation but depending on one's anatomy the second plan is sometimes advisable. Go to the very best plastic surgeon in... more

Inframammary fold suturing after breast augmentation is possible

Reconstruction of the inframammary fold after it has been lowered or violated by breast augmentation surgery or "bottoming out" of a breast implant is possible. I call the procedure an "Internal Ryan Procedure" named after Dr. Ryan who developed the technique for reconstruction of the inframammary fold during post mastectomy breast reconstruction. Some call the procedure a pexy. The breast implants are removed and a permanet suture is used to suture the inferiorly... more

Can inframammary fold be sutured up?

Yes, it is possible to lift the fold. Not an easy procedure but it can certainly be done. It is called an internal pexy or capsulorhapy, either way it comes down to suturing the fold into a higher position. Look for someone who enjoys performing revisionary breast augmentation surgery and that surgeon should be able to give you an honest idea of your results. Good luck

Implants and capsulorrhaphy

Suturing the pocket to make it a bit smaller to accommodate implant changes is performed all the time. Yes, the implant can still drop or bottom out over time. This is usually a bigger problem with the heavier larger implants

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

The heavier the breast implant, the bigger the problem

A low inframammary crease can occur, especially with large implants. The crease can be raised, but it is technically challenging. A permanent suture can be placed into the covering over the underlying ribs to give added support. The biggest problem is keeping the result from dropping down again over time. The heavier the implant, the bigger the problem.

Smaller implant can be accommodated

Mariana, Surgery to accommodate a smaller implant is certainly possible. It requires a technical challenge sometimes, so see a qualified plastic surgeon in your area. Good luck!

Revision surgery is possible.

Revision surgery is possible. Internal sutures can be placed to modify the implant pocket to accommodate a smaller implant. Additionally, Alloderm or some other product can also be used to make an internal sling to help support the implant in its new position. Good luck with our surgery.

Suturing the inframammary fold is commonly done

Sutring the inframammary fold and narrowing the implant cavity is possible, and is a common practice when patient go to a smaller implant. In extreme cases, we tend to use Alloderm to add more power to prevent displacement with the implant weight. Hope that helps.

Inframammary fold suturing can be done

Generally speaking, the pocket can be significantly modified in order to significantly change the shape, size, and configuration of the breasts. The surgeon must be very aware of what this will do to nipple position however, or other problems may arise. Click on this before and after photo set to get an idea.

Inframammary Folds can be raised.

The inframammary folds can be raised with permanent internal buried sutures. The result is usually permanent. Similarly, the implant pockets can be narrowed. I place the patient in the sitting position during surgery to make sure the new level for the inframammary folds is correct.