Fallen or sagging breasts are a common concern for women who see plastic surgeons. There are specific procedures that are more effective in dealing with these physical results. Let's start with the "pencil test" because it is a simple and perceptible way to know if breast surgery can be used to correct this condition. The pencil test helps identify the actual buckling. Place a pencil under the chest where it is attached to the chest and if your nipple hangs under the pencil when sitting or standing, then you might consider a breast lift.
A true flaccidity or sagging of a woman's nipples can occur after a pregnancy or as a result of significant gain or loss of weight. The true warping refers to the location of the position of the nipple under the crease under the breast. I do not recommend breast lift surgery if the nipples are above the fold or in the crease. Breast enlargement is usually enough to correct the shape of sagging breasts in most cases where the nipples are above the fold. However, breast lift surgery is specifically designed to reposition the nipple and areola (pigmented skin around the nipple) upward to a more natural position. The natural position is approximately one-half to three-quarters of an inch above the fold. Position the nipples higher than this can result in a strange chest appearance. The size of the areola can also be reduced during the procedure if the patient so wishes.
It can be thought that breast augmentation or breast reduction alters the size, shape, and contour of the breasts when a breast lift is not indicated to achieve the desired improvement. As with any breast surgery, size is a personal choice and all options should be discussed during your consultation with your surgeon. Breast surgery is often part of the combined procedures commonly known as Mommy Makeovers, with an abdominoplasty or tummy tuck. Mommy Makeovers is designed to treat undesirable physical changes that may persist after pregnancy.
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