Raising a lowered breast fold?

Yes, this can be done.  Internal sutures can be used to re-anchor the crease where it was previously.  It can be technically challenging to get it right, and sometimes, particularly in slender patients, the crease may not stay where it was put during surgery.  Sometimes, expensive ADM's are needed for reinforcement.  You may need to decrease the implant size, as well.  Your activities will also need to be limited for 2-3 months post-op.Best to see a plastic surgeon with significant experience in revisional breast implant surgery.

Thanks for your question. Raising of a fold is called Capsulorrhaphy. It is essentially a tightening if the scar tissue layer at the bottom of the breast.  While lowering a fold is easy because gravity works in our favor, raising a fold can be more challenging. The weight of the implant, especially if large, gravity and muscular forces, if you are submuscular, can tend to force the pocket open again. In some cases it is more predictable to temporarily remove the implant while the pocket heals. While most patients don't prefer this option it removes the weight of the implant and muscular forces as the lower pocket heals in.Your PS will have to guide you depending upon the size of your implant and muscularity.Hope this helps and best wishes.

Lower pole herniation has a number of causes and aggravating factors. Oversized implants under the muscle with an aggressive attempt to lower the infra-mammary crease at surgery in a patient that is athletic or pole dances, is a worst case scenario.  Analysis of the cause and aggravating factors is necessary to develop a plan of action that will minimize recurrence.  The use of grafts is not the first choice in our hands.  To see how to analyze and fix a worst case scenario see the attached video.

This can be done with internal suturing and should leave no additional scars.  It does involve a trip back to the OR.  Reducing the volume and elevating the areola could also be performed at the same time.  

Thank you for sharing your excellent question.  It is possible raise a lowered fold, but it requires a surgical revision procedure.  Depending on your individual tissues sutures may be used to close the lower portion of the implant pocket or an internal scaffold can be placed to help reinforce the lower portion of your chest.  See an ASPS board certified plastic surgeon in consultation to discuss your desired correction.