What grade ptosis and what procedure is recommended? (Photos)

Question

Trying to figure out what grade pitosis iam at and what procedure would help.

Gulcin Nujen Cardak, MD, FEBOPRAS · Answer

Although an assessment based solely on photographs may not provide a 100% definitive result, your nipples appear to be positioned below the inframammary folds. Therefore, it would be appropriate to classify your condition as Grade 3 breast ptosis.Based on the evaluation of your photographs, it also appears that you may be a suitable candidate for a breast lift using a vertical scar technique, without the need for an inverted-T (anchor-shaped) scar. Of course, the final surgical plan can only be confirmed following an in-person examination and a detailed assessment of your breast tissue.

Mehmet Ozdemir, MD · Answer

Based on your photos, your breasts appear to have moderate ptosis (approximately Grade II). The most appropriate treatment is typically a breast lift (mastopexy) to reposition the nipple and improve breast shape. If you also desire increased volume or upper pole fullness, combining the lift with breast implants or fat grafting may provide the best overall result. An in-person examination is needed to confirm the degree of ptosis and develop a personalized surgical plan.

Jeffrey M. Darrow, MD · Answer

Thank you for your photos. It appears that you have a grade 2 to 3 ptosis of your breasts. A full grade 3 ptosis would have your nipples sitting at the lowest portion of your breasts. This means that your breast tissue and your nipple/areola complex sit below the level of the fold underneath your breasts. The first question to answer would be, are you happy with the size of your breasts but unhappy only with their position. If this is true, a breast lift can correct the position of the nipple/areola complex to above the level of the fold under your breasts and lift your breasts. If you are unhappy with both the size of your breasts, as well as the position of your breasts, then a breast reduction, which gives a lift at the same time, could be done to reduce the size of your breasts, and also elevate them to a more youthful, perky position. Have a detailed consultation with your plastic surgeon about these options. Best wishes.

Gary M. Horndeski, MD · Answer

You appear to have Grade III ptosis. I recommend a breast lift using the Bellesoma. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. The weight of the breast is transferred to the underlying pectoralis major muscle resulting in long term stability. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Finny George, MD · Answer

Hi, thank you for sharing your question. Based on these photos you have grade 2 ptosis and would be a good candidate for a lift assuming that you are medically able to undergo surgery.

Yasemin Aydinli, MD · Answer

From your photos this looks like grade 3 (advanced) ptosis, where the nipple sits at the lowest point of the breast and points downward. At this grade a formal lift is needed to reposition the nipple and tighten the skin, using either a vertical "lollipop" scar or an inverted-T (anchor) scar depending on how much loose skin there is. Whether you also need an implant comes down to the look you want: if you would like a fuller, rounder, more pronounced upper cleavage (decollete), an implant placed at the same time achieves that. But if you are happy with a natural shape and do not mind the upper pole being softer and not perfectly round, the lift on its own is enough. One reassuring point is that the scars are exactly the same whether or not an implant is used, so adding volume does not add to your scarring. A quick in-person measurement of your nipple position and skin would confirm the precise technique.

Semih Yildiz, MD, FEBOPRAS · Answer

The photos suggest moderate to significant breast ptosis, but the exact grade is best confirmed in person by measuring the nipple position relative to the inframammary fold and looking at skin quality and breast volume.

In this situation, the main corrective procedure is usually a breast lift, not an implant alone. A lift can raise the nipple-areola position, reshape the lower pole, and remove extra skin. If you also want more upper-pole fullness or larger size, an implant or fat transfer may be discussed with the lift, but adding volume without lifting the skin usually does not correct this degree of drooping. A plastic surgeon can recommend the scar pattern after examining how much lift and reshaping are needed.

Darryl J. Blinski, MD · Answer

Based on posted photos you have 4th degree ptosis of breasts. I recommend full anchor breast lift. Fees from $6,000-$12,000. Best to virtual consult with.

What grade ptosis and what procedure is recommended? (Photos)

Answers (8)

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