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.

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

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 think that you should be treated for your hidradenitis first and then when things have healed and are stable it is possible that you may be able to have a breast lift/reduction.