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TriBeCa Plastic Surgery

Sydney R. Coleman, MD  |  Mary Lombardi, PA-C

Women considering breast augmentation who are over 40, have had children, or have lost a significant amount of weight should consider the quality of their breast elasticity as well. Breast augmentation surgery is designed to increase breast volume and improve breast shape using implants. However, it cannot provide improvement to weak, sagging breast tissue. If you are looking to achieve a more feminine bustline through breast augmentation but have signs of ptosis (sagging), you should consider combining a breast lift with your breast augmentation.

Degrees of Ptosis (Sagging)

Breast ptosis, or sagging, occurs when the breast tissue becomes weak and droops down toward the floor. It is most common in women who are older, have had children, or have lost weight. There are varying degrees of ptosis, which can all affect your breast appearance in different ways.

  • Grade I – The lower breast tissue sits on the inframammary line, but the nipples still have a good outward projection.
  • Grade II – The lower breast tissue sits just below the inframammary line, but the nipples still have a good outward projection.
  • Grade III – A moderate amount of lower breast tissue sits below the inframammary line, and the nipples have begun to turn downward.
  • Grade IV – A significant amount of lower breast tissue sits below the inframammary line, and the nipples point down toward the floor.

Problems With Untreated Ptosis

Even mild ptosis can cause problems down the line and impact the results of your breast augmentation. Compromised, weak breast tissue has a harder time supporting implants, which can lead to implant or tissue displacement. Common issues associated with breast augmentation if ptosis is not addressed can include:

  • Double bubble deformity, which occurs when sagging tissue accumulates under the breast implant and creates the appearance of two bubbles.
  • Bottoming out, which occurs when the implants slip out of the breast pocket and below the inframammary fold.
  • Poor nipple appearance, where the nipple slips lower on the breast and creates a poor appearance.

Breast Lift for Better Results

If you have even a mild case of ptosis, it is beneficial to get it treated at the same time as your breast augmentation with Dr. Cangello. Combining a breast lift with your augmentation helps strengthen and reinforce the breast tissue, which better supports your breast implants. Untreated ptosis is more likely to be associated with poor breast appearance years after your breast augmentation. A breast lift helps ensure more aesthetically pleasing breasts and prolongs the quality of your breast augmentation results.

 
If you are considering a breast augmentation and would like to have your breasts evaluated for ptosis, schedule your consultation with Dr. Cangello today. Call us at (212) 571-5200 or contact us online.