ID Sein

Breast ptosis (sagging or drooping breasts)

Breasts are said to be 'ptotic' when they sag or droop. This cosmetic issue covers different situations based on two variables: the quantity of skin and the size of the breasts. The surgical technique is adapted to suit each case, depending on the morphology of the patient's breasts.

Several types of ptosis

  • 1. Pseudoptosis:there is the 'correct' amount of skin but the breasts look 'empty'. Following pregnancy or significant weight loss, the size of the breasts has reduced significantly. The best option in this case is to increase the size (using an implant or filling) without lifting the skin
fausses ptôses mammaires
Breast lift and breast augmentation
  • 2. A quantity of excess skin with lack of volume. The surgeon can act on two parameters: the size of the breasts and the skin
ptôses mammaires manque volume
Simple redraping
  • 3. A quantity of excess skin with correct breast volume. In this case, the surgeon only needs to lift the skin, without changing the size.
ptôses mammaires volume correct
  • 4. A quantity of excess skin with large breast size. The surgeon reduces the size of the breasts and lifts the skin to correct the ptosis which is caused by the weight of the breasts.
ptosis breast volume too high

Scarring

The length of the scars depends on the quantity of excess skin.

The objective of the surgeon is to minimise the length of the scars but not to the detriment of the breast shape and the quality of the scars. It is better to have longer, inconspicuous scars than wide scars around the areolas with an inharmonious breast shape.

periareolar scar
  • 1. Periareolar scar
  • 2. Periareolar and vertical scar
  • 3. Periareolar scar, vertical scar and scar in the inframammary fold known as an inverted-T scar

The quality of the scars mainly depends on how well each scar heals.

ptose mammaire et cicatrisation

Practical details

  • The procedure takes 1.5 hours.
  • General anaesthesia.
  • The procedure is done on an outpatient basis (the patient leaves the same day).
  • Almost painless.
  • Dressings stay on for 8 to 15 days
  • No sport for 2 weeks

Potential complications

These are linked to the healing of the scars.

Postoperative complications

Exacerbated by smoking.

  • Necrosis in part of the areola
  • Necrosis in part of the gland
  • Dehiscence (rupture) of the scar or infection around stitches

Late complications

These include unsightly, hypertrophic or keloid scars.

 
  • “Empty Sac" syndrome: prostheses without lift

  • Prostheses and breast lift or by a scar periareolar round block

  • Breast and prosthesis without breast lift

  • Breast lift without implants

  • Breast lift without implants

  • Prostheses and breast lift with scars T

  • Prostheses and breast lift with scars T

  • Breast lift without implants

  • Prosthesis and breast lift

  • Breast lift and augmentation by filling

  • Simple breast lift mammoplasty

  • Simple breast lift mammoplasty

  • Simple breast lift mammoplasty

  • Simple breast lift mammoplasty

  • Simple breast lift mammoplasty

  • Simple breast lift mammoplasty

  • Breast lift without implants

  • Breast lift without implants