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.

Dear Warmhearted100405,

determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

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!