"I’m 25 and had 350cc silicone, under the muscle implants placed 4 months ago. I believed they have bottomed out as the implants now sit significantly lower than the crease incision. I’m getting explanted soon anyway, via local anesthesia, but I’m concerned the bottoming out has lowered the crease to the point that it can’t be fixed and now my post-explant breasts will look saggier than they really are because they sit lower? Is there a surgical fix to this that won’t lead to asymmetry?"
DR. POUSTI: Fix Crease during Procedure to Remove Breast Implants?
For patients in your situation, what I have found helpful is the use of internal sutures (capsulorrhaphy) done to help reconstruct the inframammary fold area. This procedure is done at the same time as removal of breast implants and serves to improve the appearance of the lower breast fold and hide the inframammary scar better as well.