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Updated: Aug 12, 2026

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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Summary
This study defines breast ptosis, classifying it into pseudoptosis, partial, and true ptosis with three degrees. Corrective techniques vary based on ptosis type and associated hypoplasia, with subpectoralis augmentation used for prosthesis insertion.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Breast Anatomy
Background:
- Breast ptosis, characterized by drooping of the breast tissue, is a common concern.
- Accurate classification is essential for effective surgical planning.
- Associated conditions like hypoplasia can influence treatment outcomes.
Purpose of the Study:
- To establish a clear definition and classification system for breast ptosis.
- To correlate specific ptosis types with degrees of severity.
- To outline tailored surgical approaches for different ptosis and hypoplasia presentations.
Main Methods:
- Development of a classification system for breast ptosis (pseudoptosis, partial, true).
- Description of three degrees of true ptosis based on nipple position relative to the inframammary fold.
- Evaluation of the association between ptosis and mammary hypoplasia.
Main Results:
- The classification allows differentiation between various forms of breast ptosis.
- True ptosis is graded based on anatomical landmarks.
- Surgical techniques are individualized according to ptosis type and presence of hypoplasia.
Conclusions:
- A precise classification of breast ptosis aids in selecting appropriate corrective techniques.
- Subpectoralis augmentation is a consistent method for prosthesis placement in all cases.
- Management strategies should consider both ptosis severity and associated hypoplasia.
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