For patients with mild to moderate ptosis or those with a flat chest suffering from postpartum breast atrophy, regular endoscopic augmentation procedures can be used for the expansion of breast tissue and correction of saggy appearance. The procedure uses implants to support hollow or flat breast tissue and restore skin elasticity. Patients can also choose from transaxillary, periareolar, or inframammary incision. Postoperative care and instructions are the same as those for ordinary breast augmentation surgeries. The following are some special considerations in using augmentation mammoplasty to correct breast ptosis:
- Implant size should be based on the degree of breast ptosis and patient requirements and would usually be larger than that for ordinary augmentation mammoplasty.
- Implant placement site is dependent on individual skin conditions; however, the preferred position is the subfascial layer closer to the mammary gland to prevent the breasts from acquiring a “double bubble” or “Snoopy’s head” appearance.
- Excessive dissection for the surgical space should be avoided to prevent the postoperative breast skin from becoming too loose.
- Patients with more loose breast may choose textured implants because they may help stabilizing the shape and avoid postoperative massage that makes the skin looser.
- Patients with severe ptosis should consider the placement of teardrop implants via inframammary incision to correct the problem.
- Those who choose to go with periareolar incision may also undergo combined mastopexy for a more thorough improvement.