Treatment for Grade 1 Ptosis Reccomended Treatments for:
Before surgery, with the patient standing at the bedside, an ideal location is selected for the postoperative position of the nipple. This is usually midway between the inner and outer edges of the breast, at the level of the lower breast skin fold. A line is marked 2 centimeters above the new location for the nipple.
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| A second line is marked on the lower breast, 7 centimeters above the lower breast skin fold. If the distance from the nipple to the lower breast skin fold is less than 7 centimeters, the second line is marked 1 centimeter below the lower edge of the areola. |
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A circle is drawn around the nipple and areola, including the upper and lower marks in the circle.
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After the patient is asleep in surgery, the skin between the outer edge of the areola and the inner edge of the previously drawn circle is removed.
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| A pursestring suture is placed around the edge of the outer circle |
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The pursestring suture is drawn tight and tied. This reduces the outer circle to the same diameter as the areola, and produces an empty hole centered around the ideal new location for the nipple.
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Suturing the outer edge of the areola to the inner edge of the empty hole completes the procedure. The skin around the pursestring suture is often puckered for a few months after the procedure.
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After 6 to 12 weeks of healing time, the skin puckering around the edge of the areola flattens out, leaving a smooth breast surface contour. The thin scar is well camouflaged by the color contrast between the darker areola skin and the lighter-colored skin of the surrounding breast.
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