Lower my inframammary fold or not? (photos)

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!

Thank you for the question. Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery.  Yes, it will likely be necessary to "lower the fold"; this is a relatively standard part of   many breast augmentation procedures that is not necessarily mentioned during the consultation process.Ultimately, careful communication of your goals (in my practice I prefer the use of goal pictures, direct examination/communication in front of a full-length mirror, and computer imaging) will be critical.   

Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. Ask to see lots of examples of his/her work.
2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of know words such as “natural” or "C or D cup” etc means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.

I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.