(A, C) Preoperative subglandular breast augmentation. (B, D) Postoperative result. This 27-year-old female underwent a breast augmentation with subglandular smooth-walled silicone gel implants measuring 540 gm each. She was 5 feet, 3 inches tall and weighed 167 lb. Note that the upper breast border (yellow arrow) has been elevated about 2 cm closer to the preaxillary crease (black arrow). The lower breast border (blue arrow) and the IMF (green arrow) have both descended when compared to the purple arrow on the arm and the pink arrow on the abdomen marking a mole for reference. The breast implant is centralized behind the existing nipple position and the upper breast border is elevated, whereas the lower pole (and IMF) descends. IMF, inframammary fold.