Table of Contents

1. What is Breast Ptosis After Augmentation?
2. Why Does Ptosis Happen After Implants?
3. Key Signs to Watch
4. Best Treatment Options
5. How Dr. Milan Doshi Treats Ptosis
6. How to Prevent Sagging After Augmentation
7. FAQs
8. Book a Confidential Consultation

Breast Ptosis After Augmentation: Causes, Fixes & Prevention

Breast ptosis is the downward descent or sagging of breast tissue. It can occur naturally over time—even with implants—due to aging, gravity, skin changes, pregnancy, weight fluctuation, or surgical factors. This isn’t a “failed” surgery; it’s a normal anatomical change that can be corrected with the right revision plan to restore perkiness, contour, and symmetry.

Why Does Ptosis Happen After Implants?

1. Natural aging: Skin loses elasticity; ligaments and tissue thin with time.
2. Gravity & implant weight: Larger/heavier implants can accelerate descent.
3. Pregnancy & weight changes: Repeated stretching relaxes the skin envelope.
4. Insufficient support: Poor bra support during exercise/sleep hastens sagging.
5. Implant placement: Subglandular (above muscle) placement may allow faster ptosis in select patients than submuscular/dual plane. ASPS – Implant placement

Key Signs to Watch

• Nipple-areola sitting at or below the inframammary fold
• Loss of upper-pole fullness, flatter top curve
• Visible droop despite implants
• “Double-bubble” or tissue hanging off the implant

Best Treatment Options for Post-Augmentation Sagging

1. Breast Lift (Mastopexy): Elevates nipple, tightens the skin envelope, and reshapes the breast. Often combined with implant exchange for optimal upper-pole shape.
   PubMed – Mastopexy techniques
2. Implant Revision: Adjusts pocket, size, or profile; addresses bottoming-out, lateral shift, or high-riding implants.
   Mayo Clinic – Implant revision insights
3. Internal Bra Technique: Mesh or strong internal suturing to support the lower pole and define the fold in challenging cases.
   Aesthetic Surgery Journal – Internal support

How Dr. Milan Doshi Treats Ptosis at Allure Medspa, Mumbai

• Personalised planning: Grade ptosis, assess implant status, tissue quality, and goals.
• Scar-minimising lifts: Periareolar, vertical, or Wise-pattern incisions chosen to suit anatomy and desired lift.
• Pocket optimisation: Dual-plane or submuscular conversion when beneficial for longevity and upper-pole contour.
• Internal support: Suture techniques or mesh for recurrent bottoming-out or weak tissues.
• Preview & follow-through: Standardised photography, expectation-setting, and structured aftercare for scar care and shape stability.

How to Prevent Sagging After Augmentation

• Wear a supportive, well-fitted bra daily (high-impact support for workouts).
• Maintain a stable weight; avoid rapid fluctuations.
• Follow post-op guidelines meticulously (sleep position, garment use).
• Choose implant size/profile appropriate for your tissue and lifestyle.
• Prefer back-sleeping where possible to reduce mechanical stress.
• Schedule periodic check-ups to monitor implant position and breast health.

FAQs on Breast Sagging After Implants

Q1. Can I fix sagging without removing implants?

Ans. Yes. A mastopexy (lift) can restore position and firmness while keeping existing implants if they’re suitable.

Q2. How soon can sagging occur?

Ans. It varies. Some notice changes within a few years depending on skin quality, implant size, and lifestyle.

Q3. Is revision safe after 10+ years?

Ans. Yes. In fact, a comprehensive assessment around the 10–15 year mark is sensible to review implant integrity and aesthetics.

Q4. Will I need new implants during a lift?

Ans. Not always. If size, shell, and position are appropriate and imaging is reassuring, implants can often be retained.

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Book a Confidential Consultation

If your breasts have lost youthful contour after augmentation, you have effective, safe solutions. With 25+ years in aesthetic breast surgery, Dr. Milan Doshi offers nuanced revision strategies to restore shape and confidence.

📞 Call: +91 8291863159  |  📅 Book online: Schedule your consultation »  |  📍 Clinic: Allure Medspa, Mumbai

This page is informational and not a substitute for personalised medical advice. Please consult a qualified surgeon for diagnosis and treatment.