What Type of Breast Lift is Recommended for a Person with Pseudoptosis Breast?

In these intances the dagging breast tissue needs to be: 1) rearranged or 2) removed or 3) removed and replaced with an implant or fat grafts. The type of scar will depend on the size of the areola and amount of excess skin.

There are many shapes and sizes to breasts and there is a not a generic answer which applies to all patients.  You would really need to have a full evaluation by your plastic surgeon to determine which procedure is best for you.  

Hi there-

I personally perform 7 different techniques and variations for reshaping of the breast, and the option recommended for any individual patient will depend greatly on her goals, but also on exam findings which can only be understood through an in person exam (skin quantity, quality, distribution, breast tissue characteristics, etc...).

Your best bet is to first find a surgeon you like and trust, and THEN worry about the technique. If you choose a surgeon carefully and well, your chances of ending up safe and happy will be very high- on the other hand, if you choose based on cost or the surgeon's willingness to perform the procedure you think you want, you are much more likely to regret your decisions later...

Some of the most unhappy women I meet in my office are those who shopped for a surgeon willing to do an operation they thought they wanted (even though others had recommended a different procedure)...

Here is some advice on how to find the surgeon right for you:

Unfortunately, it is not possible to give you good advice without direct examination.   Patients with “pseudoptosis”  can present with a varying degree of breast skin/tissue below the inframammary fold.  This variance will necessitate different operations for different patients.

In person consultation with well experienced board-certified plastic surgeons will be helpful.

Best wishes.

Hi LIiz,

This is a great question.  For pseudoptosis I recommend a "custom" operation.  The nipple areola complex does not need to be lifted but the breast gland does.  So I do work on the breast tissue itself, lifting and shaping it.  Then the skin of the lower half of the breast usually needs to be plicated.  So I create a vertical scar from below the areola down to the fold and this allows to removed skin in the horizontal dimension.  It is a very elegant procedure.  Just did a case like this last week.  Hope this helps.

Tracy M. Pfeifer, MD, MS

Breast lift, or mastopexy, is used to correct sagging, or ptosis, of the breast(s).  There are many reasons for the ptosis and of course many different anatomical considerations when planning a corrective procedure.  In general, more and more mastopexy procedures are being done with an effort to minimize the scarring.  A vertical or sometimes called "lollipop" breast lift has become more popular and is being used for various breast sizes and shapes.  Ultimately, which procedure is right for you depends on what your anatomy is now and what result you hope to accomplish.

To determine what breast lift would be best for you, you would need an examination performed by your physician.

Pseudoptosis is a breast shape defined by some skin excess, yet a nipple position at or slightly above the breast fold. Therefore, the term is 'pseudo' as there is no true droop of the breast. In my opinion, the solution is to add volume to those with pseudoptosis. An implant, even a small one will effectively take up the skin excess and tend to push the nipple up higher. The mastopexy scar is also avoided, a big plus.
Best of luck,
peterejohnsonmd

Thanks for the question. I would chose a donut lift or Bellini technique. But you did not post photos so very hard to answer. Seek 3 in person opinions. You could have an implant, a crescent lift with implant, a donut lift with implant. Many choices NO PHOTO! 

It is impossible to tell you without seeing you and evaluating your problem in person. Photos would also help.