This is when the skin stretches causing the mammary gland to sag. The breast is in too low a position and frequently "detached" from its upper part.

Drooping breasts can exist from the outset, after significant weight loss or after pregnancy, especially through breast-feeding.

  • They may merely droop but have a satisfactory volume, in which case they are known as pure ptosis.
  • Ptosis may also be associated to some extent with mammary hypertrophy, or conversely, with mammary hypotrophy (breasts too large or too small).

 

Before the operation for correcting breast ptosis: choice of technique

 

  • Where the ptosis is slight and is combined with a request to increase the volume, it is sometimes possible to correct it merely by inserting breast implants, with minimum post-operative scarring (see the information file about breast prostheses).
  • Above a certain degree of ptosis, it will be necessary to resection and re-tighten the skin and this will cause scarring:
  • The scar usually takes the shape of an inverted "T".
  • If the breast is only slightly sagging, we can perform the so-called "vertical" technique leaving a scar around the areola and a vertical scar.
  • In rare cases, it will be possible to have just one, peri-areolar scar.

 

In all cases, it is possible to insert a breast implant as part of the same operation, to restore a satisfactory volume to the breast.

 

The operation for correcting breast ptosis

 

  • General anaesthetic.
  • Operation lasts one to two hours.
  • The breast is marked while the patient is in a sitting position before sedation in the operating theatre.
  • The operating for curing ptosis consists in detaching the skin of the mammary gland, reshaping the gland and re-draping the skin after having re-sectioned the excess.
  • If planned pre-operatively, at the same time a small breast reduction can be performed by removing a little of the mammary gland or increasing it by adding a breast implant.
  • Sutures are made with re-absorbable thread so there are no stitches to remove.

 

 

After the operation

 

  • Hospitalisation for one night (generally discharged on the day after the intervention).
  • If no implants are inserted (otherwise see the section on prostheses/implants):
    In general there is little pain after the operation so only ordinary pain-killers are required.
  • It is possible to lead a normal life and to drive a car after a few days.
  • Œdema and ecchymosis disappear in a fortnight to three weeks.
  • The first dressing is removed after 48 hours and replaced with a bra. Dressings are changed at the doctor’s office once or twice a week for two to three weeks.
  • The final result in terms of the shape and volume of the breast is achieved six months after the operation.
  • The scars achieve their final aspect after one to two years.
  • Allow for convalescence and work stoppage of between three and 10 days.
  • It is advisable to wait for one or two months before starting to do sport.
  • Sequels and any complications from correction of mammary ptosis will be explained to you by Dr COURBIER during the consultation and in the literature supplied.

 

quoteMy opinion

The correction of mammary ptosis is a good intervention as long as the patient is prepared to accept that there will be scars. The cosmetic result will be satisfying if the breast volume is sufficient, but it will not be possible to get the “pouter pigeon” look without a push-up or plunge bra (depending on age, a push-up breast is not natural in any case) without inserting an implant (which will also increase breast volume).

 

See the SOFCPRE information file

 

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