Reconstruction of the inframammary fold after it has been lowered or violated by breast augmentation surgery or “bottoming out” of a breast implant is possible.

I call the procedure an “Internal Ryan Procedure” named after Dr. Ryan who developed the technique for reconstruction of the inframammary fold during post mastectomy breast reconstruction. Some call the procedure a pexy.

The breast implants are removed and a permanet suture is used to suture the inferiorly displaced tissue to the rib cage along a predetermined line which marks the normal position of the inframammary fold.

In my experience, a good repair using permanet sutures results in a permanent correction.

Some people have skin which stretches easily and are predisposed to “bottoming out” of the impant. In these people, the inferior skin and breast tissue can stretch out again, and the implant can “bottom out” again. These people typically have very thin, fair skin.