Breast Augmentation Ptosis

Several biological, lifestyle, and surgical factors contribute to breast sagging post-augmentation:

1. Natural Aging

With age, skin loses elasticity and breast tissue thins, leading to ptosis even with implants.

2. Gravity and Implant Weight

Larger or heavier implants may exert pressure on the breast tissues, accelerating sagging.

3. Pregnancy or Weight Fluctuations

Changes in breast size during pregnancy or weight gain/loss stretch the skin and ligaments.

4. Poor Support

Lack of proper support, especially during physical activities or sleep, can worsen sagging.

5. Incorrect Implant Placement

Implants placed over the muscle (subglandular) rather than under (submuscular) may lead to faster ptosis.

🔗 Learn more about implant placement on ASPS

• Nipple position below the breast fold
• Loss of upper pole fullness
• Visible sag despite implants
• Breast tissue hanging off the implant (“double bubble” effect)

Depending on the degree of ptosis and implant condition, treatment options may include:

1. Breast Lift (Mastopexy)

Reshapes and raises sagging breasts. Can be combined with implant exchange for optimal results.

🔗 Read PubMed research on mastopexy techniques

2. Implant Revision Surgery

Replaces old implants, corrects position, or addresses complications like bottoming out.

🔗 Implant revision insights from Mayo Clinic

3. Internal Bra Technique

Advanced method using mesh or sutures to support implant and lift breast tissues internally.

🔗 Explore surgical innovation at Aesthetic Surgery Journal

At Allure Medspa, Dr Milan Doshi specialize in personalized, advanced techniques that preserve aesthetics and ensure long-term results.

Previous surgery result

Helps visualize post-surgery results before you commit.

✔️ Scar-Minimizing Techniques

Utilize strategic incisions for minimal visible scarring.

✔️ Muscle Support & Mesh Options

To reinforce breast structure in severe sagging or implant bottoming out.

While you can’t stop gravity, the following tips can slow down the sagging process:

• Wear supportive bras daily, especially during workouts.
• Maintain stable weight to avoid tissue stretching.
• Follow post-op care guidelines strictly.
• Opt for appropriately sized implants for your frame.
• Sleep on your back to reduce implant shift.

Q1. Can I fix sagging breasts without removing implants?

Ans. Yes. A breast lift without removing implants is a common procedure that restores firmness while maintaining volume.

Q2. How soon after augmentation can sagging occur?

Ans. Sagging may begin within a few years, depending on skin quality, implant size, and lifestyle.

Q3. Is it safe to undergo revision surgery after 10+ years?

Ans. Absolutely. In fact, it’s recommended to assess your implants every 10-15 years for safety and appearance.

Q4. Will I need new implants during a breast lift?

Ans. Not always. If the implants are intact and appropriately sized, they can be retained during the lift.