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

Question

Breast ptosis is making me feel so low & so down about myself. I can't wear low cut tops,swim suits, bras don't fit and causes lumps under my armpits as I have to have the straps as tight as possible to prevent sagging while wearing clothes & I have had this problem since I was 13 & had it for 7 years. I've a reoccuring rash which causes holes which pus,close up & reopen again which is suspected Hidradenitis suppurativa. What are my options & what has caused ptosis, as I don't want a reduction?

Kenneth Hughes, MD · Answer

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.

Gary M. Horndeski, MD · Answer

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.

Tom J. Pousti, MD · Answer

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.

Norman Bakshandeh Day, MD, FACS · Answer

This does not lok like hidra adenitis suppurativa nor is it in the right location. These cysts need to be excised and this problem will go away

Jourdan Gottlieb, MD · Answer

What you have is problematic, but does not fit the diagnosis of hidradenitis, which involves area of apocrine sweat glands which are in proximity to hair follicles in the axilla, groin, and inner thigh. 

	It may be that a breast lift will help here by eliminating the skin on skin contact. But before doing that it would be advisable to get the disease under control by excising all the abnormal tissue in the breast fold as a first stage, and later doing the more complicated lift is a clean surgical field. It looks like you have ample breast tissue to do a lift alone. If you are considering implants I would wait until the lift is healed, and that no recurrences are noted for at least six months due to the chances and consequences of implants infection.

	Thank your for your question and for the posted photos. All the best.

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

Answers (10)

Answer: Hidraadenitis

Answer: Hidraadenitis

Answer: Hidradenitis Suppurativa, Breast Ptosis & Skin Problem

Answer: Hidradenitis Suppurativa, Breast Ptosis & Skin Problem

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Everything you need to know about Breast Lift

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

Answers (10)

Answer: Hidraadenitis

Answer: Hidraadenitis

Answer: Hidradenitis Suppurativa, Breast Ptosis & Skin Problem

Answer: Hidradenitis Suppurativa, Breast Ptosis & Skin Problem

Browse related questions

Recommended reading

Everything you need to know about Breast Lift

Our mission is to create a world where every investment in modern beauty is Worth It.