Sagging breast correction.
After weight loss or pregnancy, breast ptosis (sagging breast) is relatively common.
Ptosis can be isolated or combined with mammary hypertrophy (expansion of glandular volume) or hypoplasia (loss of glandular volume), which can be corrected during the same operation.
The aim of surgery is to lift up the breast, raise the areola and the nipple in their original (higher) position and remodel the glandular portion of the breast, with harmony defined by shape, size and position.
Ptosis correction can be performed from the age of 17. The breast remains natural but is sensitive to hormonal changes and fluctuations in weight with minimal physiological changes.
Your surgeon will mark incision lines around the nipple and in the lower portion of the breast, an horizontal line may be necessary in the inframammary fold. The final scar will be a vertical fine line from the areola to the inframammary fold, or an “L” shaped or an inverted “T” depending on the amount of ptosis to correct, the horizontal scar will be hidden in the fold of the breast, hence virtually invisible. The mammary gland is repositioned in a higher position where you want it to be. If you have loss too much volume within years, we may discuss to put a silicone implants: this is not an obligatory step, but has to be discussed before surgery.
This operation is not very painful. Drains are placed intraoperatively and are usually removed after 24 hours. The patient is then advised to wear a special bra continuously for a month. The stitches are resorbable, although a follow up visit will be done after one and two weeks. A temporary numbness of the nipples may be present, this usually resolves completely.
The main sequel of this procedure lies in scarring; special attention is needed to minimize scarring. There may be some mild asymmetry post operatively (this is usually present prior to the operation), if it is the case it may be corrected after few months under local anesthesia.
Unpredictable scarring may occur, infection, sensibility loss, and in very rare cases, loss of the areola (<1%).
In very young women (17-20 years old) with a very thick glandular tissue there is a small chance of recurrence, with a secondary increase of volume within few months.
Asymmetry, or any other minor complications can be corrected under local anesthesia few months after surgery if needed.