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Breast Augmentation with Lowering of the Inframammary Fold

Article Contributed by Dr. Tom Pousti, San Diego, CA

Some patients present with a short distance from the areola to their inframammary fold. Many of these patients wish to increase this distance and the “fullness” of the lower pole of the breasts. This distance can be increased in the operating room and the fullness of the lower pole of the breasts enhanced with the implants. Careful measurements area made in order to achieve as much symmetry as possible – care is taken to avoid over-dissection and a resulting “bottoming out” of the implants.

Before breast implants are placed, markings are performed and sizers are placed to achieve the desired outcome of lowering the infra-mammary fold.

In the operating room with implants in position and the infra-mammary fold lowered and therefore producing a larger distance from the areola to the infra-mammary fold.

This procedure can be used for patients with tubular or "constricted” breasts as well to help in achieving the fuller, rounder appearance. Settling of the implants may require 3-12 months after surgery.

Before and after photos - Surgery results: lowering the inframammary fold

Article Contributed by Dr. Tom Pousti, San Diego, CA

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