Hi there and thank you for the question.
Droopy breasts are due to a combination of volume loss (glandular loss) and loose skin (think about a long-inflated balloon that has lost some gas). The medical term is ptosis, and can be classified according to the position of the nipple and glad of the breast in relation to the inframammary fold. Ptotic breasts are managed by addressing the gland and the skin through various techniques including: augmentation, augmentation mastopexy, or mastopexy (breast lift) alone.
Treatment of mild ptotic breasts can be through augmentation, including fat grafting or breast implant insertion, or a combination. In more severe ptosis, there usually needs to be skin removed in addition to glandular rearrangement and support. The skin excision can be done in various ways including from around the nipple, in a vertical scar down the lower part of the breast, or with a horizontal extension at your inframammary fold. Which technique used is dependent on the amount of loose skin you have. Glandular rearrangement and support is important for longevity of the breast lift.
It is best to consult with a qualified plastic surgeon who can conduct a thorough assessment and recommend the appropriate management. Hope this helps!
Dr Adrian Ooi
Consultant Plastic Surgeon
Polaris Plastic & Reconstructive Surgery
Illumia Medical
