How Accurate is the Pencil or Ruler Test for Ptosis?

The pencil test (can you hold a pencil underneath your breast or does it fall to the floor) and the ruler test (is your nipple above or below that line) are pretty good tests for a quick easy read...but there are always variations to this and if you can, send along some pictures too...That would give us a little help as well!!! But so far it sounds like there may be other options for you!

The anchor shaped lift was designed by Wise in 1956.  I have not used the anchor technique in over 15 years because there are superior techniques.  I NEVER use a vertical incision because the scars are impossible to hide, widen in time and weakens the skin envelope.  The best techniques result in scars around the nipple or hidden in the inframammary fold.  The breast weight is transferred to the underlying muscle and the breast tissue is elevated creating upper pole fullness. I highly recommend this new technique called The Ultimate Breast Lift.

Best of Luck,

Gary Horndeski, M.D.

The decision on whether breast augmentation alone is enough, or if a lift is needed is best made in person. The type of lift is determined by the amount of lift needed, breast volume and the amount and nature of the breast skin.

Best advice I can give you is to get another consultation from a Board Certified Plastic Surgeon. There is more than one way to most things in plastic surgery, another opinion may bring a better understood plan.