Correcting Breast Ptosis

Falling Breasts

Ptosis is mainly caused by a progressive loss of volume of glandular tissue and to a loss of tension of the skin envelope. These so-called sagging, distended breasts seem to have an empty skin bag. This appearance evolves with time. It can be facilitated by a significant loss of weight or often by pregnancies. As it has already been mentioned, apart from simple ptosis, some patients exhibit ptosis secondary to mammary hypertrophy. This chapter covers simple ptosis.

The Surgery

It can be done as early as the age of seventeen in cases of major discomfort. There is no age limit The objective is to move the gland upward, to adjust the skin envelope to this new breast curve and to reposition the areolar zone properly. To achieve this objective, excess skin must be removed. Therefore, a scar will be inevitable. The incision locations and the healing process will be fully explained. The extent of the surgical incision depends on the degree of ptosis and on the quantity of skin to be removed. It often is in the shape of an upside down T or a marine anchor. In some cases, it can be in the shape of an L, a J or an I, or the scar may very rarely be peri-areolar (around the nipple) only. Once the usual check-up and mammography are performed, the surgery is performed under light general anaesthetic and lasts for two or three hours.

Stay In Hospital

Generally the patient stays in hospital for one or two days.

Post-Operative Care

The patient will only feel light discomfort. Wearing a bra round the clock is recommended between the second and fifteenth day.

Problems & Complications

Scars may become pink and thicker in the fourth week after surgery. This inflammatory reaction progressively subsides in the third month after surgery. In some isolated cases, the surgeon will prescribe massages with anti-inflammatory lotion among others, so that the hypertrophic aspect of the scars rapidly fades away