Ptosis refers to the drooping of a woman’s nipple, areola, and/or breast. It is due to tissue stretching, atrophy (degeneration), or a loss of elasticity. The change is classified as ptosis when the breast has become significantly elongated in comparison to the adolescent breast.
Ptosis sometimes occurs with early breast growth during a woman’s developmental phase but is more common over time. Advanced age and lifestyle factors (weight loss or pregnancy) contribute to the development of ptosis. It also occurs as the result of gravity, hormonal changes, and glandular regression (an element of menopause).
Physicians and surgeons address the degrees of breast ptosis using the Regnault Classification system, which includes the following gradations:
- Pseudoptosis / Glandular Ptosis: the nipple is above the inframammary fold (the fold under the breast), but the breast hangs below the fold.
- Minor Ptosis (Grade I or 1st Degree): the nipple is at the level of the inframammary fold.
- Moderate Ptosis (Grade II or 2nd Degree): the nipple is below the inframammary fold but above the lower breast contour.
- Severe Ptosis (Grade III or 3rd Degree): the nipple is below the inframammary fold and also below the lower breast contour.
Each of these classifications includes the basic criteria of the patient having a stretched breast envelope. Physicians also consider the patient’s correction desires and skin quality to recommend the most effective form of treatment.
In many cases, patients suffering from minimal ptosis can be effectively treated with breast implants. Patients whose condition is classified as moderate or severe may require more extensive surgery and skin excision. At Edelstein Cosmetic, our surgeons will always work with you to determine the best form of treatment for your circumstances and desires.