Pseudoptosis in Beverly Hills
There are four degrees of ptosis that exist as standard with the American Board of Plastic Surgery Classification. Grade 1 is at the level of the inframammary fold. Grade 2 is where the nipple is below the inframammary fold between 1 and 2 cm. Grade 3 is severe skin laxity where the nipple areolar complex is greater than 3 cm below the fold. Grade 4 is pseudoptosis in which the nipple itself is actually above the inframammary fold; however, there is redundant skin and skin surrounding the nipple areolar complex. This case of pseudoptosis is associated with a significant amount of loss of upper pole fullness, involutional upper pole atrophy and an excellent example of skin laxity. However, the nipple is significantly above the fold and therefore augmentation mammoplasty alone is warranted without the use of a breast lift. This patient, as can be seen postoperatively, had 500 cc high profile saline implants placed in the dual plane technique two-thirds under the muscle and one-third over and there is excellent position of the nipple areolar complex without any form of mastopexy performed. Patients with pseudoptosis have excellent results with augmentation mammoplasty with silicone or saline implants without breast lifts. Board Certified Plastic and Reconstructive Surgeons have the capability to determine which patients require lifts and which do not and pseudoptotic patients do not.