Can my inframammary fold be raised surgically? What is the best method to bring me to a perky B-C cup? (photos)

The technique I recommend is explantation using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained, if not injured during your previous surgery.  The inframammary fold will be raised using this technique.Best Wishes,Gary Horndeski, M.D.

The inframammary fold can be raised, as it is done often in breast revision surgery.  In your case the relationship of your breast meaning the distance of the nipple/areola (NAC) to the IMF and the location of your NAC is very good.  Trying to raise the tuck after explant would only alter the relationship of your NAC and would likley result in you need a lift to restore that relationship. I would likely say that your long distance from your clavicle to your breasts is your anatomy (preop photos would help clarify that).Also it is difficult to say how much breast tissue you would have left after removal.  Again by the photos it appears that you may be a lot of implant and very little breast tissue.I would recommend you see a board certified plastic surgeon to discuss your options in person.Hope that helps.

Dear katymarie2,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for sharing your question and photographs.  It is possible to surgically raise the IMF but it would be helpful to see before images as well as to know whether your original surgeon lowered yours to accomodate your implant size.  I would seek out a series of ASPS surgeons in consultation for in-person evaluations of your tissues and goal results.

It is difficult to make 100% accurate predictions following explant. There are a number of factors to consider including age (the breast changes over time irregardless of augmentation), weight change, skin stretch and residual elasticity.
Following removal, one can expect:
-Loss of volume- Not an exact correlation between pre- and post augmentation due to the changes over time. You may be bigger or smaller than you remember.
-Ptosis/sagging-Ptosis develops over time and may be worsened by the presence of an implant. If a patient has pre-explant sagging, removal is likely to worsen this to a certain extent. If there is no ptosis, it does not necessarily mean there will be no ptosis after removal.
-Skin laxity/stretch- There is inherent skin elasticity which will allow for some measure of snap back. However, the greater the volume differential pre- and post- the more likely there will be excess skin.
In my experience, it is usually a safe assumption that there will be some changes post removal which oftentimes may necessitate further operative intervention (i.e. lift), however this is often a function of size and length of time post op. Small implants which have only been in place for a short period will lead to an improved response/recoil post removal.
With regards to your specific question, your options will be entirely dependent upon the response of the tissue to the loss of the implant. The fold is typically raised as a function of the lift (if it has descended and needs correction). You do not appear to have any ptosis at baseline, thus the need for a lift is contingent on the response to implant removal.
As always, discuss your concerns with a board certified plastic surgeon (ABPS).
Donovan Rosas MD
Board Certified by the American Board of Plastic Surgery
Member: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons
RealSelf Top 100
RealSelf Hall of Fame 

Hello! Thank you for your question. I'm sorry to hear that you're unhappy with your appearance after breast augmentation. The final size of your breasts after explantation depends on a number of factors---including (but not limited to) the amount of breast tissue compared to the size of the implants. (This is best determined during a physical exam by a plastic surgeon.) The position of your breasts on your chest can be somewhat raised with a breast lift. (I think this is the actual question that you were trying to ask when you asked about raising the IMF.)  But you should be aware that your breasts are already appropriately positioned on your chest and your nipples/areolas are appropriately positioned on your breasts. Keep in mind that if you decide to pursue surgery it’s very important that you find a surgeon whom you are comfortable with and trust and who evaluates you in-person and tailors an individualized treatment plan for you and your aesthetic goals. Best of luck!
Matthew A. DelMauro, M.D.

Yes, the IMF can be raised surgically but that is not necessarily going to result in the look you want.  I encourage you to meet with a board certified plastic surgeon near you for a consultation.  Determining how much native tissue you have versus implant and current skin elasticity will help determine which, if any procedures are needed to help you achieve your goals.

Yes, the inframammary folds can be raised surgically, at the time of breast implant removal surgery. Obviously, removal of the breast implants will decrease overall breast size significantly. Whether or not  breast implant removal surgery will result in a breast size that you will be pleased with cannot be determined online. My best advice: carefully select your plastic surgeon. Have him/her demonstrate to you (for exmaple utilizing previous patients before/after photographs) what you might expect to look like after breast implant removal surgery. Best wishes.