Mammary ptosis is defined by a drooping of the mammary gland and a distension of the skin surrounding the gland. The breast is found in a very low position and lacks fullness on the upper side. Breast ptosis can occur after the normal development of the breasts but is more commonly encountered after a significant weight loss or after pregnancy and breastfeeding.Mammary ptosis can be isolated or can be associated with a certain degree of mammary hypertrophy. We can also notice ptosis in the context of a very small breast (mammary hypotrophy). Plastic surgery repositions the areola and nipple to the correct position but also centers and lifts the mammary gland to remove the excess skin and achieve harmonious, elevated breasts with a nice shape.Causes of mammary ptosis:– Aging– Gravity– Weight fluctuations– Pregnancy and breastfeeding– Poor skin qualityThe normal position of the breastsThe lack of satisfaction related to the firmness, volume, and general appearance of the breasts can be associated with different factors. When breasts retain or diminish their volume, the skin will be left sagging and drooping over time.The ideal position of the nipple is 18-22 cm from the top of the sternum. The optimal volume for a natural aspect depends on the body’s development and general proportions. The breasts have a bigger tendency to develop ptosis when the volume is larger.Frequently, breast ptosis can be associated with stretch marks, and the areolas tend to grow asymmetric and large, which can greatly compromise the general appearance of the breasts.ConsultationDuring the initial consultation, you will discuss with your plastic surgeon all about your desires and expectations. The plastic surgeon will ask questions about the shape, volume and the desired position of the breasts, as well as your medical history, the surgical plan, potential risks associated with it and the conditions for post-surgical recovery.This is the best opportunity to ask your surgeon any questions you might have about the surgery and to see before and after pictures of past patients who underwent the same procedure.MastopexyThrough the breast lifting procedure also known as mastopexy, we aim to restore the shape and firmness of the breasts in a natural way.During mastopexy, the surgeon will elevate and remodel the breasts, including the areola, to restore the natural volume and position of the breasts. After the intervention, your breasts will be perkier, more elevated, less asymmetric and closer together.Aside from the aesthetic purpose, there is also a therapeutic purpose to mastopexy. Sagging breasts can cause dermatological issues due to the constant contact between the breast skin and the skin on the thorax. Hypertrophic (excessively large) breasts can pose respiratory issues and also affect the posture of the patient, causing lumbar pain.RecoveryAfter the surgery, most patients will be required to spend the night in the medical facility, under strict supervision of the medical staff. The patients can go home within the first 12 hours following the procedure.The plastic surgeon will advise you to avoid strenuous physical efforts for at least two weeks and to wear the girdle for no less than a month. Breast massages might also be recommended starting with the third week after the surgery and according to the recommendations of the plastic surgeon. No longer than a week after the procedure, the patient can resume work.Most plastic surgeons will recommend having this procedure performed no sooner than a year after giving birth and stopping breastfeeding or six months after massive weight loss.Weight fluctuations after mastopexyEven before undergoing surgery for breast lifting, your plastic surgeon will tell you that the only way to sustain the results of the intervention is to maintain a constant weight. Your new breasts will be impacted by the same factors as before surgery, such as pregnancy, breastfeeding, weight fluctuations, aging, and gravity. By going through major weight fluctuations, you can seriously compromise the results of the breast lift.While the results can be permanent, it is only the patient’s responsibility to look after herself and sustain them for as long as possible. A certain amount of sagginess will occur eventually and negatively affect the breasts, but if you take good care of them, the amount of sagginess will be negligible. The same cannot be said for patients who go through massive weight fluctuations after the surgery. An ulterior pregnancy can be considered a major weight transformation as the breasts change massively during this time.The breast lift surgery is mostly recommended for women who have no plans for future pregnancies and are confident that they are able to keep a constant weight in the long run.ConclusionBreast ptosis is a common concern for women after a certain age, especially women who underwent massive weight fluctuations and multiple pregnancies. It is a well-known fact that weight gain and weight loss have a significant impact on the appearance of the breasts as they are mostly made of adipose tissue. The sagging effect can only be treated with the help of plastic surgery and the results can be sustained only if the patient puts in the effort to keep a stable weight after the procedure. Going through weight fluctuations after mastopexy will have a negative impact and alter the results of your surgery.