I Have Breast Ptosis & Skin Problem Under my Breasts That Looks Like Hidradenitis Suppurativa, What Are my Options?

      If you have been diagnosed with HS and had medical treatment for the presumed HS without any results, it may be reasonable to excise this area in the inframammary fold.  Allow this to heal and determine if your disease recurs.  If it does not, then a full breast lift could be performed with or without an implant.

The best option for breast ptosis is a new technique called The Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to lift your breast tissue higher on your chest wall to increase your upper pole fullness, displace your breast medial to increase your cleavage and reshape your breast.  This will alleviate the rash underneath your breasts and is done without vertical or boat anchor incisions.  Hidradenitis suppurativa can be treated with antibiotics and surgery if there are deep infections.

Best Wishes,

Gary Horndeski, M.D.

Thank you for the question and good quality pictures that demonstrate nicely your areas of concern.

It is clear that your breasts have caused you significant physical and probably psychosocial “distress”. I would suggest that you work on controlling the skin reactions first; consultation with well experienced dermatologists may be very helpful to you.

 Once the "dermatitis” has been treated  you may want to seek consultation with well experienced plastic surgeons to discuss options. Breast lifting may be at an operation that would be helpful to you at some point. As you know, the trade-off with breast lifting surgery is the presence of scars,  which may be a “deal breaker” for some patients.

Many patients (If properly selected and who are doing the operations at the right time of their lives  psychosocially) accept the scars associated with breast lifting surgery as long as they are happy with the improvement in contour, size, and symmetry. This acceptance of the scars is the essential “trade-off” associated with many of the procedures we do in the field of plastic surgery.

I hope this helps.