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Dr. Linder's Blog


Pseudoptosis Treated By Augmentation Mammoplasty

· August 17, 2011

Pseudoptosis refers to extra skin from the breast; however, the nipple areolar complex is located above the inframammary fold.  There are four types of ptosis, Grade 1, 2, 3 and pseudoptosis.  Pseudoptosis can easily be treated with a straight augmentation mammoplasty procedure, saline or silicone implants, without the need for a breast lift.  The preop photo below shows significant amounts of involutional upper pole atrophy with skin ptosis.  However, the nipple areolar complex is above the fold.  As a result, placing the implant in the dual plane technique (two-thirds below the muscle, lateral third above) should easily fill out the tissue envelope, allowing for a beautiful fullness without the need for a breast lift.  Postoperative photo shows 500 cc high profile saline implant placed under the muscle through a periareolar approach.  She is now three months postop.  Notice that the pseudoptosis has been completely taken care of the implant alone without the requirement of any formal breast lift whatsoever.  Pseudoptosis once again is easily treatable by augmentation mammoplasty surgery without the need of a breast lift.  Board Certified Plastic and Reconstructive Surgeons who specialize in breast augmentation and reconstruction should be able to identify pseudoptosis and correct this accordingly.

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