Ptosis is the natural evolution of a breast .
It is due to the cutaneous aging (loss of elasticity) , to modifications concerning the volume of a breast (pregnancy, breast-feeding) and of course due to the weightiness of the breast (the heavier, the worst it is).
A hypertrophy whether mammary, glandular, fatty or a mixed one, is frequently disabling.
A too heavy breast is responsible for pains in the back, even deformation of the backbone.
On the other hand, it often results in a psychological complex for a young woman.
For these reasons, part of the operation will be reimbursed by the health insurance.

It is practised under general anaesthesia and lasts about 1 hour 30 minutes to 2 hours.
The surgical gesture consists in a reduction of the volume of the breast if necessary and an aesthetic remodelling of the breast which is shifted to a higher position.
The scar is around the areola and is vertical under the areola.
When an important reduction is practised, an horizontal scar may be needed and situated in the breast crease.
Hospitalisation lasts from 24 to 48 hours.

Pains are light.
Daily dressings have to be made and wearing a bra is compulsory for one month.
Ecchymoses and troubles of breast sensitiveness are normal and will progressively decrease.
The breasts, always a little rigid for some time, get more supple and will soften naturally.
Scars often pinkish at the beginning, turn white within 12 to 24 months but require a regular control, and at times, the use of creams and patches to minimise them.

Apart from the rare and usual complications of any surgical act (i-e, anaesthetic accidents haematoma, infection and healing problems) there are very few specific problems in mammary reductions.
The cicatricial aspect is occasionally deceiving, with a long lasting inflamatory scar which is widened particularly around the areola.
An efficient covering up can then be suggested.


© Dr van der Stegen 2001
Creation, conception: NIKOPOL