Women generally choose to undergo breast augmentation when they feel that their breasts lack the volume they desire. Implants are often used to enhance breasts, but they can also improve the shape and appearance of breasts following pregnancy, weight loss, or aging. Younger women who wish to enlarge their breasts typically have firm breasts with good elasticity. Women begin to develop some breast sagging following pregnancy or as they age, which can affect the quality of their breast augmentation. Identifying Ptosis. Breast sagging, also known as breast ptosis, occurs in different levels of severity, ranging from mild to severe.
It occurs more frequently than surgeons anticipate and especially over the longer term after augmentation. Certain breast implants are more prone to contribute to this problem as are implants placed in submuscular pockets that ride high, especially in women with anatomical musculoskeletal variance or asymmetry. This article describes the aetiology of sliding ptosis in more detail, the relevant anatomy and the surgical correction. Understanding the problem enables the surgeon to plan the appropriate procedure and obtain proper informed consent. It is possible that a two stage procedure is necessary should the upper pole of breast require a debulk, either early 3 to 12 months or later as the breast may slide with ageing of the tissues. The waterfall effect of breast parenchyma over implants is only apparent when the upper torso of the woman is undressed and she is in an erect posture.
Background: Dual-plane breast augmentation DPBA can be an effective technique for treating patients with ptotic breasts who fall somewhere in between the traditional requirements for breast augmentation versus a more extensive augmentation-mastopexy. Objectives: The author outlines indications for DPBA, describes the technique, and presents outcomes data from patients receiving gel or saline implants in an effort to clarify the advantages of DPBA compared with breast augmentation with or without mastopexy. Methods: This 8-year retrospective comparative study reviewed the results of saline implants placed with a DPBA technique in a single surgeon's practice during the final 4 years of the FDA moratorium phase 1 compared with both gel and saline implants placed during the 4 years after the moratorium was lifted phase 2.
Drooping of breast tissue after breast augmentation—"ptosis"—can create a very displeasing visual deformity. Most often the deformity is due to ptosis that pre-existed the augmentation. Many patients were told they needed a lift but they did not want the scars. They then received a relatively large implant, and this heavy implant exacerbated the ptosis. Sometimes large implants alone are enough to cause ptosis.