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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
- 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
- 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.
- 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.
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.
The quality of the scars mainly depends on how well each scar heals.
- 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
These are linked to the healing of the scars.
Exacerbated by smoking.
- Necrosis in part of the areola
- Necrosis in part of the gland
- Dehiscence (rupture) of the scar or infection around stitches
These include unsightly, hypertrophic or keloid scars.