Breast Droop 

Breast Lift Surgical Options 
After pregnancy, nursing, major weight loss, or just after years of exposure to gravity, the skin covering of the breast may become overly large for the amount of breast tissue left inside it. The breast then sags, producing skin contact between the lower breast skin and the chest wall. The medical term that describes this situation is breast ptosis.

Ptosis (Pronounced "toe\' - sis")(The "P" is silent) is the medical word for sag or droop.

Ptosis is the noun. The adjective form is ptotic.(Pronounced "taw\' - tic")
Breast ptosis is classified by comparing the nipple location on the breast mound to the location of the lower breast skin fold on the chest wall. The degree of ptosis varies from one patient to the next, and is subdivided into 4 grades of severity: pseudoptosis, grade 1 ptosis, grade 2 ptosis, and grade 3 ptosis.

Grade III Ptosis

Grade III Ptosis occurs when the nipple is 3 or more centimeters below the lower breast skin fold.  To correct this grade of ptosis, I recommend a circle nipple lift.  Click on the View Photos button to see photos of people with this grade ptosis and how their procedure turned out.

 

My favorite treatment for grade III ptosis is an inverted-T breast lift, with or without breast augmentation.

 The first step in an inverted-T breast lift is to select the new location for the nipple. An isosceles triangle is then drawn, with the apex of the triangle at the new location for the nipple, and the base of the triangle being a 6-centimeter horizontal line at the lower breast skin fold. After the patient is asleep in surgery, the skin is removed from inside the triangle, sparing the nipple and areola.  
 The 2 sides of the triangle are then incised. The skin edges are undermined for a distance of 3 centimeters beyond the margins of the triangle.  
 A suture is placed to connect the midpoints of the sides of the triangle with the midpoint of the triangle base.  
 The suture is tightened, converting the triangle to an inverted T.   
 A 4 centimeter diameter circle of skin is excised from the apex of the breast cone.  
 The inverted T is sutured closed. This reshapes the breast into a cone.  
 The nipple and areola are sutured up to the edge of the circle, completing the procedure.