The reason might be scar hypotrophy (fat separation or hypotrophy under the skin).This may be treated with fat transfer (if the overlain skin has not thicken also). A scar revision may also treat the problem, but it may be necessary to be done on both sides in order not to disrupt symmetry.Fillers are not indicated as the may make the area look "blue" or lighter.
If you like your breast size and just want to correct the ptosis then you should go only for a lift. Note that during the lift procedure some of the volume will be also lost. If you want to keep your volume intact and maybe also enhance your upper pole fullness at the same time, you might go for a lift and a very small implant. If you wish you had a bigger breast and full, then an augmentation procedure is what you need. A mild ptosis can be corrected with a medium to big size implant, giving you shape and volume. Note that if you have a significant ptosis and you also want to go bigger, then just an implant will not do it! When a significant ptosis is present, a big implant will fill up the breast "envelope" and give you shape, button long term, the weight of the implant will bring your ptosis back. So, to revise.. Ptotic breasts need a lift (with or without implant) Minimum ptosis can be improved during augmentation breast surgery if your main concern is to increase volume and size. Kind Regards,
