Sagging breasts can be a physical and emotional burden for women. However, the condition can be reversed with plastic surgery.
Breast ptosis exists in varying degrees. Grade 1 is the mildest - mainly a loss of volume and firmness at the top of the breast. It's sometimes called a waterfall deformity.
Grade 2 indicates that the nipple has fallen below the crease of the breast. How do you know? Stick a pencil under your breast and notice whether your nipple falls below it. A circumareolar lift (aka, nipple lift) can be used to reposition the nipple. Grade 3 is distinguished by severe sagging, a loss of volume, and nipples that point towards the floor.
Creams and lasers may be no match for gravity, but the common breast lift, or mastopexy, is. The procedure tightens and lifts sagging breasts and repositions nipples.
A breast lift can be particularly beneficial for women after pregnancy, which, among other alarming bodily changes, can cause the nipples to hang down below the crease of the breast. Sudden weight loss after giving birth can lead to further loss of tissue volume, creating a flatter area on the upper portion of the breast.
Since mastopexy alone does not increase breast size, the surgery may be coupled with breast augementation. If the source of the sag is the extra weight of oversized breasts, however, a breast reduction is probably your best bet.
When breasts sag only slightly, mastopexy is performed through a crest-like incision on the upper half of the nipple or by cutting around its circumference, leaving a scar that takes about a year to disappear. Moderate and major cases are completed through a vertical incision below the nipple. Regarless, breast lifts are major surgery and patients need at least two to three weeks before resuming everyday activities.