Plastic surgery performed to lift the sagging breast. Breast sagging is usually treated surgically by removing excess skin resulting in a firmer breast. Because the problem is related to the skin & breast tissue (fat & breast gland & suspensory ligaments) rather than muscle this problem is unaffected by exercise. Whether a lift should be performed or not & what type of technique is used (around the areola/nipple vs an inverted-T incision) is dependent on the degree of drooping not the size of the breast. The normally positioned nipple should be in line with or above the level of the infra-breast skin crease i.e. while standing upright the nipple should lie 20cm (about 8inches) diagonally from the neck notch of the upper edge of the breast bone.
If the breast appears to droop but lies close to the infra-breast crease level an implant is recommended not a lifting procedure. A lifting procedure won’t work in such cases & you will end up with a scar for nothing. The implant is placed slightly lower on the chest wall so that the nipple once more becomes the point of maximal projection. For greater degrees of drooping this can’t be done because then the implant would lie too low. For minor drooping where the nipple needs to be raised less than 2 inches I prefer the donut mastopexy/breast lift. This leaves a much
less noticeable scar around the nipple complex rather than the inverted T incision that is required if breast drooping is more severe.
Depending on your age & breast size it sometimes is not a good idea to get an implant in the face of severe preoperative drooping. This is because the cause of drooping is multifactorial:
* breast size
* genetic predisposition
* smoking history
* bra use history
If you are already large busted & get a lift with an implant your problem will recur quite readily. As it is a lift procedure alone may have to be redone within 5 to 10 years because the procedure does not affect aging, breast size, genetic makeup or gravity. You can help prevent the recurrence of drooping by regularly using a bra.