Is it common to have to lower the breast fold/crease?

Question

Had 2 consultations and my surgeon told me on Friday that he has to lower my breast fold and I was wondering why when I have seen lots of woman with little breast tissue between the nipple and crease on here and they didn't have to have this done??also was wondering if there is a way around this? Thanks in advance for your answers

Daniel Barrett, MD · Answer

Hi Rae,Do you have any photos or further information? What procedure are you getting done?When in doubt, a exam in person is always best.  I sometimes lower the inframmary fold during breast augmentation but its not that often.Please don’t hesitate to reach out if you have any more questions.I hope this was helpful,Dr. Daniel BarrettPlastic SurgeryBeverly Hills, CA

Martin Jugenburg, MD · Answer

Lowering a breast fold to improve symmetry is not uncommon. Without photos it is impossible to give you advice. Regards,

Jerome Edelstein, MD · Answer

Hello,Thank you for your question. The lowering of a fold, if absolutely necessary, should be done in a very subtle and very careful way. Your quality of skin/tissue and measurements will be key factors, as well as the size/projection of implant you choose. Choosing smaller implant can put less strain on the crease as well as reduce the need for expanding that area. If you aren't confident in your surgical plan, seek another opinion in person. It isn't possible to give you specific advice online.All the best

Gerald Minniti, MD, FACS · Answer

Hello,Lowering the breast fold is based on your biodimensional measurements, as well as the planned implant size. Without an examination or at least photographs, little can be said about your particular case. I share your concern.  Lowering the fold can be unpredictable, and can lead to unanticipated drop out if not done well.  Make sure your consults are with surgeons expert in cosmetic breast surgery, ABPS certified, and a ASAPS member.Best of luck!

Payman Danielpour, MD, FACS · Answer

Every individual is different and in some cases the inframammary fold may need to be lowered to achieve symmetry.

Vincent P. Marin, MD, FACS · Answer

From your description, you may have somewhat of a constricted breast, and in these cases, it is necessary to lower the breast fold. Otherwise, the implant will sit too high on the breast itself. A photo would help determine the exact course. You should see a board-certified plastic surgeon in your area to get a formal opinion through an in-person consultation.

Richard Chaffoo, MD, FACS, FICS · Answer

Hi and thanks for your question. It's unusual to lower a breast fold, but no one on this site has actually examined you so it's not really appropriate to make any recommendations on treatment options. Make sure you have surgery with a surgeon in which you have confidence and is certified by the American Board of Plastic Surgery. Good luck!Richard Chaffoo, MD,FACS, FICSTriple Board Certified Plastic Surgeon

Robert Singer, MD · Answer

Since every patient is different, the operative procedure should be individualized. While it is rarely necessary to lower the fold, that procedure may produce a better cosmetic result in the patient who really needs it.Keep in mind that following the advice from a surgeon on
this  or any other website who proposes to tell you exactly what to do without
examining you, physically feeling the tissue, assessing your desired outcome,
taking a full medical history, and discussing the pros and cons of each
operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS)  that you trust and are comfortable with. You should discuss your
concerns with that surgeon in person.Robert Singer, MD  FACSLa Jolla, California

Arian Mowlavi, MD, FACS (license on probation) · Answer

Do not let anyone lower your crease under any circumstance for multiple reasons including:1)you can potentially destroy your crease for life and require multiple revisions2)to lower the crease to accommodate a larger implant will only result in your breast mound and implant being located too low on you chest (you will then have to get a lift anyways)The ideal way to accommodate a larger implant that can fit between the fold and nipple is to get a lift done; This will not only allow you to get a larger implant but will also allow you to have a beautiful breast mound that is located appropriately on your chest to give you proper medial cleavage and upper pole fullness.Please examples below and make a consultation to get another opinion. Also, take advantage of our implant special.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for the question and an examination is really needed.  That said the fold is not uncommonly lowered during an augmentation particularly if it is high or large implants are being used.Dr. Corbin

Is it common to have to lower the breast fold/crease?

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