Is hardening of lower breast normal?

If you're desiring just an augmentation, it can certainly be done but you will not have 'perky' results.  You will need a lift for that.  But if you simply want larger with a 'natural droop' an augmentation alone will do that for you.  As for approaches, the armpit approach is...

Breast pain is a fairly common complaint for all women, implants or no implants, and there a a lot of potential causes. I would check with your Gyn or family doctor. Given that your last mammogram was normal it could be something simple like a dietary change that is needed.

Thank you for submitting your question and photo. Your very early in your recovery from breast augmentation surgery. Your implants will soften and your breasts will change over the next several weeks. In the first week after surgery your breast will be 15-20% larger secondary to swelling. Rest...