Achieving beautiful breast augmentation results depends on a number of factors, one of which is your inframammary fold. This fold, which naturally occurs along the curve at the underside of the breast, has the potential to impact your breast enhancement surgery in three different ways.
1. Measuring Ptosis
A woman’s degree of ptosis, or sagging of the breasts, is determined by comparing the nipple placement relative to the position of the inframammary fold. This can affect the decision to move forward with breast augmentation, as a breast lift may be recommended for the best results in women whose breasts sit lower on the torso.
2. Better Implant Placement
Where the implant is placed vertically and horizontally on the chest is also critical. If the implant sits too far above the inframammary fold, then the upper pole will look too full. If implants sit too low, then the breasts look “bottomed out”—that is, the nipple looks too high compared to the profile of the implant, while the upper pole won’t look full enough.
3. More Options during Surgery
Inframammary incisions also offer the most flexibility when it comes to incision placement. For example, most surgeons who use transaxillary incisions (hidden in the underarm) also use saline implants, which are inserted empty and filled after placement. Women with smaller areolae may also need to use saline implants if they choose periareolar incisions. With inframammary incisions, there are no limitations on implant type or size. Surgeons also have more access to the implant pocket, which can allow for more technical finesse during the surgery itself, also improving the final outcome.
Dr. Joseph J. Castellano is a native Floridian who grew up in the Tampa Bay area. During medical school and his 5 years of training in General Surgery, Dr. Castellano developed a strong interest in Cosmetic Surgery. He followed his residency training with an elective year of specialized training with the American Academy of Cosmetic Surgery. From 2010-2011, he completed a fellowship in Indiana focused entirely of cosmetic surgery of the face and body. During his fellowship, he received specialized training in facial rejuvenation, breast augmentation, abdominoplasty, and body contouring. Dr. Castellano received his board certification from the American College of Surgeons in 2010.
Dr. Castellano focuses on breast augmentation, abdominoplasty, liposuction, facelift, and eyelid rejuvenation. Additionally, he operates on numerous skin cancers, scar revisions, spider veins, and specializes in the management of aging skin with chemical peels and laser resurfacing.
Request a consultation to meet with Dr. Castellano and learn more about all his practice has to offer.
