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The strengths

  1. It is a correction of breast ptosis with or without modification of the mammary volume.
  2. Possibility of placement of breast implants to increase breast volume or decrease the volume of the mammary gland.
  3. Often advised after a massive weight loss

Description

The purpose of the ptosis treatment is to raise the areola in a good position and to restore a harmonious appearance of the breast.
Pregnancy, breastfeeding and weight changes can lead to a progressive descent of the chest. Several surgical techniques are currently available to help you to obtain a prettier curve. According to your morphology, you can be offered the use of breast prosthesis or an injection of autologous fat to increase the volume of your breasts. Finally the shape and size of the scars will appear different.
In cases of moderate ptosis, a slight breast augmentation allows to raise the breast. This procedure can be performed by placing prosthesis or by a lipomodel (injection of fat).

If you do not want breast augmentation, the ptosis can be corrected by modeling the gland with a scar all around the areola called “round-block”.
When the ptosis is larger, it is necessary to make additional scars:

  • A vertical scar in case of average ptosis
  • A vertical and horizontal scar called “T” in case of significant ptosis.

 

Intervention

If you have a family history of breast cancer, a mammogram and an ultrasound may be required.
If an autologous fat injection is considered, a pre-operative breast MRI is required.
The procedure is performed under general anesthesia. This requires a pre-anesthetic consultation at least 48 hours before surgery.
In most of the cases, the intervention is performed in conventional hospitalization (entry at 1 pm and leaving at 11 am the following day).
The operation is not painful but the post-operative care requires professional activity interruption for 5 to 7 days.

Questions and answers

 

What are the possible complications ?

The main complication is the alteration of the sensitivity of the areola and nipple.
A hematoma or blood clot may occur on the evening of surgery but this is extremely rare.
In the case of simultaneous implantation of a breast implant (plastic-prosthesis), infection of the prosthesis can occur in very rare cases.

I just want to fill my neckline, what techniques are available ?

Some women just want to fill the top of a breast without necessarily going up the areola and nipple by a T-scar.

The use of round prostheses is often inadequate as it will fill the breast as a whole and may aggravate the falling chest by tilting the nipple down.

Anatomical silicone prostheses are used to fill the lower part and more projected than its upper part.

This makes it possible to fill the neckline while correcting the breast ptosis (for more info: article of the blog on the treatment of the ptosis by anatomical prostheses)

We can also limit the increase of volume to the upper portion of the breast by injecting purified fat into this area.

This will not weigh down the breast as a whole and makes it possible to “cheat” harmoniously by avoiding the use of scars. The result is natural without foreign tissue injected into the body. However, recent recommendations of the French Society of Plastic Surgery have restricted the use of this technique to women under 35 years old for personal or family risk factors for breast cancer (for more information: The injection of purified fat into the breast).

How much does a ptosis treatment cost ?

The ptosis treatment is never covered by health insurance even after major weight loss.
A treatment of simple ptosis costs a total of 4000 to 4500 Euros.
A ptosis treatment with silicone prosthesis costs from 4500 to 5500 Euros and a treatment of ptosis with injection of purified fat (including a liposuction) will cost up to 5500 to 6000 Euros.

Photos

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