Lower my inframammary fold or not? (photos)

Good evening!From your photos it indeed does appear that you will need your folds lowered, but this is just part of being a breast augmentation surgeon. The three who didn't mention it probably didn't think to mention it but all probably intend to do just that but just didn't speak it out loud.There is a big deal made online about lowering vs not lowering, and I get it- there are potential complications such as bottoming out, double bubble, etc., which are of course always a concern. However, if a fold needs to be lowered to fit an implant, then so be it that is what needs to be done. It's not a situation where you should be saying I am going to go to this PS over another because one mentioned lowering the fold and I don't want that. No one is going to lower your folds if you don't need it, but everyone will lower your folds if you do need it.I have attached a link to my Breast Augmentation photo gallery for your review- #105 looks just like you- hope it helps!

There is no need to specifically mention, it is just part of the procedure.  If you find the right surgeon they will give you the outcome based on the proper pocket dissection and implant placement.  There is no need for you to tell them what exact things need to be done, and there is no need for them to describe the exact technical moves that they will make.  look at their photos, describe what qualitative look you are trying to achieve, and pick the right surgeon.The fourth surgeon sounds like the worst of the recommendations. The recommendations are wrong, the lack of experience is a significant problem.  I typically don't stretch the fold to measure it, but the fourth surgeon is wrong about the volume as well.  This is a simple straight forward breast augmentation.

Hello,
Thank you for your enquiry. On the photos, your breast fold looks in a good position. Implants require a new breast fold because the diameter is larger than your natural breast. Breast fold surgery can also done on it's own without an implant but I don't think this is necessary in your case.

Your areola/nipple appears to sit low on your breast, so I understand why you would think to either raise the nipple or lower the bottom of your breast to center your areola better.  Good news- you don't need to do it!  You can get a nice result with a straight forward breast augmentation.  Releasing the inframammary fold introduces a number of potential problems in breast augmentation (bottoming out, double bubble, etc), and you should not have this done without good cause.

I think your question answers itself.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

Your fold will have to be lowered slightly so your incision lies in your fold. Otherwise, your incision will be too high on the breast if your current fold is used. Often times, surgeons don't tell you every single step of the surgery. Best to choose the board certified plastic surgeon you feel most comfortable with to perform your surgery. Good luck!