Implant crease adjustment - can the fold be raised? (Photos)

Question

I had my previous implants replaced and my right breast is sore in the fold and sits lower than the other. My previous implants sat very evenly, and now this one side feels quite low. It tends to make my bras uncomfortable since it pulls unevenly. Is that a situation that could be revised and the fold raised?

Daniel Barrett, MD · Answer

Dear lex.ham,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.

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

Mustafa Aydinol, MD · Answer

I’m sorry you’re dealing with this. From your description (and photo), the right implant likely has inferior malposition (“bottoming out”) or IMF descent&mdash;so the fold sits lower and the bra pulls unevenly. This is revisable.
How we fix it • Pocket analysis & sizing: measure breast width, nipple-to-fold distance, review implant width/projection and plane (submuscular vs subglandular). An implant that’s too wide or too heavy for the pocket often causes this. • Inferior capsulorrhaphy (fold raise): tighten the inferior capsule to the chest wall with permanent sutures (often reinforced with ADM or mesh like GalaFLEX when tissues are thin). This raises and redefines the IMF. • Re-center the implant: release tight areas above, adjust the pocket (“neo-pocket” if needed), and swap to a narrower or lighter implant if size/shape contributed. • Plane change (if indicated): converting to subfascial or dual-plane can improve control and reduce recurrence when tissues are lax.
Recovery & aftercare • Outpatient revision; bruising/swelling 1–2 weeks. • Structured support for 6–8 weeks: underwire/IMF taping to protect the new fold; avoid heavy chest workouts. • Expect improved bra comfort and symmetry once the fold heals.
When can bracing help? • If you’re within the first 6–8 weeks after the replacement, targeted taping and a supportive bra may guide the capsule. After ~3 months, the capsule is mature and surgery is usually needed.
Risks to discuss
Recurrence (higher if the implant is too wide), asymmetry, rippling (if downsizing), sensation changes, capsular issues&mdash;your surgeon will review how mesh or a size adjustment lowers these risks.
Bottom line: Yes&mdash;the fold can be raised and the implant re-centered. See a surgeon who does pocket-control revisions regularly; bring your implant details and op notes. With proper capsulorrhaphy (often mesh-reinforced) and, if needed, a better-matched implant, this problem is very fixable.

Darryl J. Blinski, MD · Answer

Based on your only one post a photo I recommend a virtual consultation to determine exact operations needed, but I feel you need an internal bra technique using dermal matrix implants to obtain a better result. Fee $10,000-$15,000. Best of virtual concert.

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