Lower my inframammary fold or not? (photos)
Doctor Answers 16
Lowering the fold in breast augmentation
Thank you for your clinical post and photograph. From the photos presented both breasts have a fairly short nipple areolar complex inframammary fold distance and with a 350-400 cc or gram implant I too would agree that it is not an option that the IMF be lowered, but to provide the best aesthetic result and to minimize risk of a high riding implant and pseudoglandular ptosis, lowering the inframammary fold would be essential. In addition to lowering it it would also fix the inframammary fold to the chest wall to minimize long-term bottoming out of soft tissues by stable fixation techniques.
The thing with plastic surgery there is rarely one way to get a good result and many plastic surgeons would not lower the inframammary fold, however, I find the most stable long-term results and the best lower pole options especially when the IMF to inframammary fold distance is slightly short comes from lowering the inframammary fold by 1-1.5 cm with this size implant.
I think you need to continue to do the research that you’re doing, trust your instincts. A board certified plastic surgeon with experience is likely to get you an excellent outcome. Regardless, however, long-term stability and prominence of the upper pole may be problematic if the IMF is not lowered and if the new IMF is not affixed to the chest wall.
I know it can be confusing when you get different opinions from certified specialists, but plastic surgery, that kind especially, it is part art and science.
I hope this information has been of some assistance and best of luck.
For more information, please review the link below.
R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
Don't over-complicate it -- you just need an augmentation
Risks of tampering with Inframmary Fold
You might also like...
Lowering the submammary crease
Keep in mind that knowing the volume of the implants doesn't tell anything about the diameter, since different surgeons could use different profiles (moderate, full, extra full and so on). The higher the profile, the narrower the implant would be for the same volume, and with a narrower implant the need for lowering the fold decreases. There are many variables that may be too difficult for a patient to understand fully, and that's where you need to go with a surgeon you feel comfortable with and that can explain everything in a way that you understand easily. Not every patient needs the same amount of information, but it is wise to go with a surgeon that can answer all your questions.
Lower the fold
Breast augmentation decision
Best thing to do is to be examined by a plastic surgeon with experience in breast augmentations. More cases you do, more you become an expert. Look at their before and after photos, see if you like what you see. Look at their reviews. Which surgeon do you trust? Which office do you feel will look after you the best? Remember that a surgeon is part of a team and his team is just as important. Having a great surgeon but an office that doesn't care much about you is not productive.
You do seem to have a very short nipple to fold distance. If you do not lower your fold, there is a possibility that you nipple will be tethered to the lower part of the breast and you will end up with downward looking nipples.
Nothing replaces an in-person assessment, however looking at your photos I would imagine your medial folds will need to be released to change your linear/slanted fold to a nice curve
Age and gray hair independent of skill and experience
Select the surgeon that has an extensive before and after photo gallery that demonstrates reproducibly pleasing results among hundreds of patients with variable anatomy and desired look. Try not to worry about the technical aspects of the surgery as that's losing site of the only thing that matters....your result! Best of luck.
Lower my inframammary fold or not?
Please revisit the surgeon that she liked the best and who has the most experience and discuss this in detail.
Lowering the fold in breast augmentation
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.