Will breast implants lower my breasts even further? (Photos)

Your current inframammary fold sits almost at the level of your nipples, meaning that your entire breast — including the crease — is positioned lower on your chest. In this case, breast augmentation alone can enhance projection and volume, but it won’t significantly raise the position of your breast on the chest wall. The breast tissue and nipple will remain at the same relative position unless additional procedures are performed.
A breast lift (mastopexy) is typically recommended for patients with significant nipple ptosis (sagging), where the nipple falls below the breast crease. Since in your situation the entire breast — including the fold — is low, a lift may not be necessary or even helpful, as it is not designed to raise the entire breast mound on the chest.
Instead, careful implant selection and surgical technique are key. It's very important that your surgeon preserves the current inframammary fold and does not lower it further. With the right implant and placement, you can achieve a fuller, more lifted appearance without the need for a lift or nipple repositioning.
Always consult with a board-certified plastic surgeon who has experience in cases like yours to ensure the best approach is taken for your anatomy and goals.

Thanks for your question! For a primary surgery, I would suggest a straightforward breast augmentation. You may want to raise the nipple areola down the road, but I would get a stable breast mound first. Good luck!

Fold position is an anatomic landmark for the base of the breadth. As we age, skin can stretch and there can be some descent. The laxity and excess can be used to lift the breast and redefine/restore its position on the chest,

Based on your photos, there can be the perception that your fold is lower due to the deficiency of volume. That being said, you do not appear to have sufficient laxity to draw the breast mound upwards to re-establish the fold at a higher position.

I would recommend beginning with an augmentation. A narrow width higher volume device is preferred.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).