Droopy Breasts? – Understanding Breast Ptosis

Drooping Breasts or Saggy Breasts? – Understanding Breast Ptosis & Cleavage

Breast Droop or Sag is commonly rectified with Breast Lift Surgery or a Breast Lift with Implants. Find out more about the condition of Breast Ptosis.

Different types of Breast Ptosis – Breast Sag or Droop

Yes, there are different classifications of breast sagging or droopiness, known as Ptosis. Before considering the types of breast lift options it is a good idea to understand the ptotic conditions that require a cosmetic or corrective breast lift surgery.

The three conditions that plastic surgeons consider “sagging breasts” are:

  • Ptosis: This is the medical term for breasts that sag far enough that the nipple and areola are out of position relative to your breast crease.
  • Empty Sac Syndrome: This refers to a breast that has lost fullness due to age, genetics, breastfeeding, etc. The nipple and areola have not fallen in relation to your breast crease.
  • Pseudptosis: Like the Empty Sac Syndrome, pseudoptosis is a condition where your breasts lack fullness. In this case, your breasts may appear full below the nipple but they lack fullness above the nipple.


droopy breast-saggy breast ptosis

What Causes Breast Ptosis, Sagging or Drooping?

Breast tissue of ALL women tends to droop, or stretch and lose elasticity, over time.  Other parts of the body may also droop and sag, but many women notice sagging breast tissue first and often want to do something about it.

Many factors can contribute to the drooping or sagging of a woman’s breasts; these changes and the degree of breast Ptosis (sagging of the breasts) can result from the following:

  • Pregnancy
  • Breastfeeding
  • Weight fluctuations
  • Ageing
  • Gravity
  • Heredity

There are several degrees of Ptosis (sagging) related to the crease beneath your breast tissue, e.g. along the rib cage under your breast tissue (the inframammary crease).

What is Breast Ptosis?

Ptosis, sagging breasts or nipples pointing ‘southward’, will eventually be an issue affecting nearly every woman.

There are surgical solutions, depending on the degree of Ptosis (drooping) experienced, the amount of existing breast tissue you have, and your individual preferences for how you’d like your breasts and nipples to look after your breast enhancement uplift surgery.

Degrees of Breast Ptosis: Is your breast sagging mild, moderate or severe?

The level of breast sagging (ptosis severity) determines how your breast surgery is best performed.

degrees of severity of skin sagging of ptosis of breasts - ptotic breast

How is a nipple lift performed?

WHERE should your nipples be located on the chest mound after a Mastopexy/Breast Lift?

  • Aesthetically, nipples look best when facing FORWARD on your upper torso/chest area
  • Over time, however, they start to droop downwards
  • Sometimes this happens slowly as you age, other times it happens rapidly due to major life changes such as pregnancy, breastfeeding, sudden weight changes and/or illness

The nipple lift itself is part of the breast lift procedure. The technique involves:

  • Redundant breast skin is surgically excised
  • The Nipple Areola Complex (NAC) and remaining breast tissues are lifted upwards into a more central position on the chest wall, then sutured into place

Sometimes ‘internal bra’ surgical techniques are used


Nipple Surgery & Areola Reconstruction During Your Breast Surgery

Enlarged or disproportionate nipples, inverted nipples and nipple hypertrophy can also be corrected during your Breast Lift with Implants surgery.

This may involve adjustment of the position, size or shape of the nipple, as the areola can also expand in size over time or may point downwards.

Are there Different Types of Breast Cleavage?

The word cleavage is derived from the word cleft: usually V-shaped indented formation: a hollow between ridges or protuberances.

  • Upper Pole Fullness is when a patient attains cleavage as a result of their breasts being close together at the upper part of their breasts. A Breast Lift (Mastopexy) can be enhanced with breast implants for added projection or upper-pole fullness.
  • Medial cleavage is when they achieve closeness at the midline.
  • Side Boob is another form of cleavage

Beyond cleavage, you’ll also be discussing the implant sizes and types during aBreast Lift with Implants consultation.

Dr Rebecca Wyten will explain all of the options you’ll need to consider in choosing the perfect implant to meet your goals.

Can I get more cleavage from a Breast lift with implants?

Increased cleavage is easily attained with this procedure however the outcome depends on the type of cleavage you want.

How is a Breast Lift with Implants performed?

To address the issue of loss of volume or fullness in the breast, a breast augmentation (implant) is often recommended at the same time as the lift.  The breast implant fills up the extra skin of the breast. Breast implants work well to restore the fullness that was in the upper aspect of the breasts.

In some cases with just slight sagging of the breasts, an implant alone without any additional mastopexy (breast lift) may lift the breast.

In most cases, the implant is placed beneath the pectoral muscle and the breast lift is then performed. The shape of the breast mound is usually better when both breast augmentation and breast lift are performed together.

The placement of an implant, even a small one, will fill out the top part of the breast and improve the projection.

This additional weight on the chest may accelerate the rate of ongoing breast ptosis if the implant is placed above the muscle. For this reason, the implant is usually placed below the muscle.

Your Breast Lift with Implants procedure is performed in our accredited surgery centres.  For the utmost safety, your anaesthesia is administered only by Board Certified Anaesthetists.

Procedures normally last between 90 to 150 minutes.

Download Our Breast Lift Guide

Breast Lift Guide Download

Mummy Makeover Breast and Body Surgery

Mummy Makeover, Tummy Tuck

Breast lifts can also be added to other tummy, vaginal, face and anti-ageing procedures for a complete  ‘Mummy Makeover’.

For more information about Breast Lift Surgery visit the Coco Ruby Plastic Surgery Website


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    About Dr Rebecca Wyten

    Melbourne Specialist Plastic Surgeon


    Dr Rebecca Wyten is a Specialist Plastic Surgeon from Melbourne. Patients choose Dr Wyten for just some of the following reasons:

    • Female Plastic Surgeon is a Specialist Plastic Surgeon at Coco Ruby Plastic Surgery.
    • 21 years of expertise in the field of plastic surgery, particularly breast augmentation surgery.
    • A ‘Fellow’ of the Royal Australasian College of Surgeons. FRACS
    • Most up to date techniques for fat transfer or fat grafting to the breast.
    • Warm, engaging and down to earth and is highly regarded by her patients and team.

    What to do next

    Female Surgeon breast surgery implants melbourne

    Want more information before scheduling your consultation?

    • Call or Email to request more detailed information
    • Organise a free phone call with Patient Advisor
    • Organise a Virtual consultation

    What to bring to your Consultation

    • You may need to undress for a physical exam so wear simple clothes
    • Bring a friend or relative to help discuss the information and your choices
    • Take lots of notes and read the documents provided thoroughly

    How to Book your Initial Consultation

    • A referral from your GP or specialist is helpful but NOT essential – you can have a consultation without a GP Referral.
    • Book a consultation with Dr Rebecca Wyten by paying the $300 consultation fee.
    • Email us or call the team 1300 264 811 to arrange an appointment and consult with Dr Wyten for further advice.

    Download a guide to learn more about your procedure

    Download a Procedure guide to learn more

    *Remember, each patient is different, and results can vary from patient to patient. *Individual patients will have uniquely individual and varying results.