Breast Augmentation: Q&A

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Is It True That Lowering the Inframmary Fold Will Cause Bottoming Out?

I had bottoming out from my breast augmentation, My surgeon lowered the inframmary fold and within 21/2 months they bottomed out. Why the hell would he lower the fold, when most of you are saying you never should do that. He is a board certifed surgeon.

9 Doctor Answers | Asked by islandcheif in NY
+2

Lowering fold...

I disagree. I lower the fold as a nearly routine practice in breast augmentation surgery. Just as the nipple needs to be correctly placed over the implant, and this changes depending on the implant selection...the same is true for the fold. Now, there are cases where I will reinforce the fold to prevent bottoming out, and there are cases where I'l select a different implant depending on the resulting dimensions...but, very simply, a larger breast has a lower fold and I... more
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Lowering the Inframammary fold and "bottoming out"

There are instances where a lowering of the inframammary fold (IMF) is entirely appropriate and necessary - without photos there is no way to give you more specific information. However, this needs to be done cautiously and carefully. Normally this would be discussed with you prior to your operation. Discuss this with your doctor and perhaps you can get more information regarding your operation. Fortunately, there are operations to correct this, but these are operations... more
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Inframammary fold and bottomed out implants

I make every effort to save the fold whenever possible as it is the best barrier to implant descent but sometimes with a short distance from the fold to the areola I need to lower it for the best result. I have the patients wear a very specific underwire bra 24/7/3 months to help a weak fold gain the strength it needs.

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+1

Lower fold may not cause implants to bottom out

With many breast augmentations the fold will be lowered as the breast implant is centered within the breast. The lowering of the fold has more to do with the give and relaxation in the skin envelop of the breast rather than the idea of physically lowering the breast fold. Yes, an attempt to lower the actual fold with a very full implant can result in the implant to bottom out, or even result in a double bubble, though this is more of cause of the pocket problems. What is important now is... more
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Lowering the inframammary fold

Many factors can contribute to bottoming out but lowering the inframammary fold can contribute also. Bottoming out can be fixed with a surgical procedure. Good luck!
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Is It True That Lowering the Inframmary Fold Will Cause Bottoming Out?

Can not answer without seeing before and after photos of you. Ask him why he lowered the infra fold.
+1

Breast Augmentation San Diego

Your surgeon may have had good reason(s) to lower the inframammary fold. Lowering the fold, in and of itself, does not cause "bottoming out." A combination of skin and soft tissue elasticity, patient activity post operatively, tobacco use (retards healing and collagen formation), genetically determined healing characteristics, size and weight of the implant, as well as surgical technique and pre-surgical patient anatomy all influence the position of the inframammary... more
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Lowering the inframammary fold after breast augmentation

While I sense your frustration, it is a common practice to lower the inframammary fold during a breast augmentation. This usually allows your surgeon to create a given space or pocket to allow your breast implant to settle while avoiding the too commonly seen "high-riding" implants in other patients. However, the amount that the fold is lowered is dependent upon numerous variables, and is usually a very small amount. If it's lowered too much, then patient's run the risk of... more
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Lowering the inframammary fold and bottoming out

Hello and thank you for the question. On a case-by-case basis, there are indications to lower the inframammary fold in breast augmentation. Changing the fold position is sometimes necessary in order to create balance and symmetry, as a mild and relatively un-noticeable asymmetry in a virgin breast can translate into a significant asymmetry following augmentation. Without seeing the specifics of your particular case, it is difficult to make an accurate assessment. Best of luck... more
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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