Breast Ptosis Surgery, KIES-U Plastic surgery Korea

How do your breasts change after you give birth or as you get older?

First, is when most of the fat on your breast drops down and the lower part of the breast stretches.

Second, is when you lose volume in the upper breast. We call this glandular ptosis.
Please refer to the image below.

Glandular ptosis that is formed after giving birth

The glandular ptosis formed after giving birth is different from the real ptosis.

In the real ptosis, the upper breast skin stretches causing the nipple to droop also.

As you get older, both your nipple and ptosis droop downwards.

Those patients who come to the clinic to talk about the ptosis do not know if they have loss of volume, glandular ptosis, or real ptosis. Let’s look at each with an aid of the images below.

1)     Normal breast

Normal breast without any ptosis

Your skin has good elasticity and your ptosis along with subcutaneous fat are all in good condition before giving birth. (Although your breasts may be small) Your nipples are always above the lower breast line. This is very important for aesthetical good look.

The 2 images below are of a patient who gave birth to two children and thought that she had a severe case of sagging breasts. The word “sagging” is rather subjective but from a doctor’s point of view, I don‘t think that there is any droopiness.

The ptosis tissue dropped down a little and there is a loss of volume on the upper breasts so basically there is less volume on the breasts. Breast augmentation would lead to positive results for her.

Loss of volume on the upper breast after giving birth

After breast augmentation through areola incision and areola reduction

 
2)     Glandular ptosis

We can see the glandular ptosis in the image below. The nipple is positioned lower than the bottom breast line.

Droopy breasts with loss of volume after giving birth (Glandular ptosis)

But the tissue on the lower breast is stretched out, and there is a loss of volume on the upper part. Therefore, much of the skin has fallen below the lower breast line. (Glandular ptosis)

You cannot put implants on the breasts with glandular ptosis as you would on the normal breasts. You must conduct biplane breast augmentation.

Biplane requires the implant to be positioned below the pectoral muscle but the lower part of the implant has to be on top of the pectoral muscle.

Biplane breast augmentation is conducted on those patients with glandular ptosis

3)     Real ptosis

Real ptosis is caused when the skin on the upper breast loses elasticity and droops downwards below the nipple – areola.

Drooping breast with loss of elasticity due to aging and giving birth (real ptosis)

You would need breast ptosis surgery in order to aesthetically fix the drooping breasts (real ptosis). Many patients already know this but breast ptosis surgery does not require implant but involves periareolar lift.

This leads to a lot of wounds / scars therefore you need to talk with your doctor and make a careful decision.

At times you can use implant for the breast ptosis surgery as well.


This may seem awkward but ….
Whenever I conduct breast ptosis surgery I feel that the beautiful looking breasts can change after giving birth meaning that a woman needs to sacrifice her beauty for a birth of a baby. If a woman does not sacrifice her beauty, no baby would be born.…..

So I try to meet my patients with drooping breasts with most respect. I think that all mothers need the utmost respect.


Thank you.