Thanks for your question - Recurrence of breast sag or ptosis can happen after breast reduction. Things that increase the chances of this happening include breast feeding, weight gain and loss and poor tissue quality as well as time. Usually people get the benefit of a lift after a breast reduction that... more













5 posts
2 Feb 2009
This is a very common issue. The fact of the matter is, the the long term results are based on three things: 1) the surgical technique used; 2) the elasticity of the patient's skin and 3) the amount of breast tissue vs. fat the patient has. In regards to surgical technique, I prefer methods that re-suspend the breast tissue on the chest wall. Hopefully the breast tissues will attach themselves to the pectoralis fascia and resiste the effects of gravity. The degree of elasticity is high patient dependent. I have some younger patients with very elastic skin and the breasts tend to 'drop' quite a bit in the first few months to 1 year after surgery. On the other hand, I have some patients with very taught skin that resists the efftects of gravity. Finally, a breast is composed of both actual breast tissue and fat. Patients with a higher ratio of fat have a tendency to have flatter, droopier breasts whic are more likely to sag, while on the other extreme, some women have firmer fuller breasts which stay 'high' on the chest after surgery. The bottom line is this: time, gravity and the aging process all kick in as soon as the surgery is over. All women will have some degree of 'drop' after a reduction. Some women have the expectation that they will have full 'augmentation' results from a breast reduction, which would be a mistaken assumption.Not infrequently reduction patients show me breast augmentation pictures and say they want those results. This is an 'apples to oranges" comparison and is a cause for concern in doing surgery on these patients.