Is there anything I can do to help smooth out my old inframammary crease? (Photo)

It is still too early to have a good sense of whether or not your old breast fold will be visible after your augmentation. I would give it at least three – six months. That said, a very good solution to camouflaging an old breast crease in the situation is fat grafting to smooth out the contour irregularities. This can avoid a more invasive procedure with scoring and release of the old lower breast fold.It's critical that you seek the advice of a surgeon who is certified by the American Board of Plastic Surgery and has significant experience with breast augmentation.
 I wish you the best,
 Dr. Gabbay.

Hi,
Congratulations on your surgery! Thank you for your post. You are only 4 weeks post op, which is too soon in the healing process to know how things are going to look. After a breast augmentation, it can take 6 months to a year before you see the final results. Just be patient and give them time to settle. I would recommend calling your plastic surgeon with any questions or concerns.  

You are still very early in the healing process and what you are seeing now is not your final results yet. It usually takes 4-6 months post op for your body to fully recover and only by then will you be able to conclude your results. It would be at this time when you can decide whether to have revision surgery or not. 

Congratulations on your recent surgery and thank you for sharing your question about your post operative recovery and results after your surgery.  Final results can take 6-12 months for all the swelling to subside.  At our office we actually see all of our surgery patients the very next day after surgery and then again at two weeks and beyond. We enjoy staying closely connected to our patients and enjoy giving the extra attention and service. Your concerns are important to discuss directly with your board certified plastic surgeon.  He or she will appreciate the open communication and will want to help you. I hope this is helpful and wish you all the very best.  Sincerely, Brian S. Coan, MD, FACS

From your photographs, you have what we would call “double bubble”. A double bubble forms usually when some attempt is made to place an implant whose base diameter vastly exceeds that of the native breast thus necessitating a lowering of the fold. When the attachment of the skin fold remains attached to the muscle fascia, and the implant is in a plane lower than that, two bottoms appear. The upper one is where the old crease was. The lower one represents the bottom of the implant. The repair of the situation will oftentimes necessitate removal of the large implant and placement of a smaller base diameter implant, usually with the addition of some type of an ADM such as Strattice or Galaflex. Hope that is helpful.

Hello,
Thanks for the question.
An implant as large as over 700 cc will invariable sag down and settle the crease that you see now in time.
I don't think you need to any thing actively for it.
Wish you all the best