
A ptotic breast is a breast which is dropping. This condition is not related to the size of the breast. A small breast may be as ptotic as a large one. Obviously, the treatment differs from one situation to the other.
It is mandatory. It allows the evaluation of the extent of the ptosis, to appreciate the skin quality, to notice the stretch marks and the size of the breast.
The surgeon will then discuss the desired size of the breasts, the shape and the location of the scar, with the patient.
There may be three different cases :
- ptotic large breasts : reduction mammoplasty, ptosis correction ; the scar is usually an “inverted T”,
- ptotic small breasts : the breast volume has diminished after multiple pregnancies or weight loss. The placement of the implant allows to restore the original size. The incision will be placed around the areola, either all around or only in the inferior portion, depending on the extent of the nipple ptosis,
- ptotic “normal size” breasts :

Ptotic hypertrophied and very asymmetrical breasts. Two month result.
Ptotic breasts after three pregnancies. The ptosis is corrected, the volume modification has been minimal.