A woman's breast usually atrophies and sags after pregnancy and breastfeeding, or after significant weight loss. Breast ptosis is classified into 4 stages (degrees), depending on the height of the nipple in relation to the inframammary fold:
Pseudoptosis: When the mammary gland protrudes below the level of the inframammary fold and the nipple is above the inframammary fold.
1st Degree of Ptosis: The nipple protrudes 1 cm below the inframammary fold.
2nd Degree of Ptosis: The nipple protrudes 1-3 cm below the inframammary fold.
3rd Degree of Ptosis: The nipple protrudes more than 3 cm below the inframammary or is located at the lower pole of the breast.
Preoperative screening and mammography are required in women over 35 years old, as well as clinical assessment in the doctor's practice to assess breast ptosis.
Depending on the degree of the fall, we choose the appropriate surgical technique of breast lift. In the early stages, we prefer the periammillary lift or the Lejour technique (incision around the nipple and vertical without the inframammary line). In a higher degree of sagging, we prefer the combination of lifting with skin removal and placing a silicone insert.