How to treat a fallen chest

Written by: Dr. Javier Fernández-Palacios Martínez
Published: | Updated: 18/11/2018
Edited by: Top Doctors®

Over time and completely naturally, the breasts fall by the effect of gravity and loss of elastic conditions of the skin and connective tissue. In turn, there are general factors that can facilitate breast ptosis (breast fall), such as abrupt and sensitive changes in body weight or induced hormone changes, such as pregnancy, breastfeeding or climacteric, among others.

Mainly, the breast factors that facilitate ptosis are volume and weight, as well as the scarce tissue consistency of the breast. Evidently, the genetic factor also influences, even in the location of the chest, since there are women with lower breast implantation than others, without any ptosis.


Can breastfeeding be prevented?

Although it is almost impossible to act against genetics, it is possible to influence the general factors. It is important to maintain adequate weight, through healthy living and a balanced diet, which prevents sudden changes of weight. In turn, it is important that the woman does not gain more than ten kilos in non-twin pregnancies. In addition, good hydration in the breasts and continuous use of a good bra are factors that help maintain a good shape and position to the breast.



Mastopexy means breast lift, and basically consists of surgically repositioning the chest to its original place when it has fallen. Generally, it consists of a technique of bilateral application, although in the mammals asymmetries or after sequelae of oncological treatments it is made unilaterally so that the plastic surgeon can symmetry both breasts.

As such, mastopexy is the surgical intervention that corrects mammary ptosis. Thus, there are several techniques of mastopexy, and most have in common an important cutaneous resection and a glandular relocation until the breast returns to its original position by placing the areola complex, the nipple in the zone of maximum projection of the breast. This necessarily involves a surgical periareolar scar and a vertical scar from the areola to the underwater juice, where the breast ends below. At the same time, a minimal transverse scar may be necessary in the same groove in cases in which, in addition to a pexia, a reduction of the breast volume is necessary, besides eliminating weight of the breast being the most stable results. The reverse case is a fallen and empty breast, where a prosthesis will be inserted to achieve an adequate breast volume.

Finally, it is also possible to comment the pexia post extraction of mammary prostheses. Thus, it is possible to remove the prosthetic implants previously and remodel the breast with its own tissues.


A simple postoperative and an effective recovery

In order for a patient to be operated on, she must first be in good health, while the patient has previously undergone a complete preoperative period to confirm her state of health. In turn, patients over 35 years of age should undergo mammography at the discretion of the radiologist. If the patient has previously been a mother, it must have been at least one year after the birth or end of lactation. At the same time, it is also not feasible to intervene who is looking for or expects to become pregnant in a short period of time. In the same line, the patient should maintain a regular weight, and the smokers should know the risks they face, such as dehiscences or scars poorly closed if they do not cease or decrease in their habit.

Mastopexy is an intervention that is performed under general anesthesia, and usually requires a night of hospitalization. Its recovery tends to be quite fast, since it is a painless intervention when the muscle is not touched and it does not include drains or stitches. The patient can shower without problems the next day, and must wear a sports bra day and night for at least a month. In turn, the patient will avoid efforts and sudden movements, while not being able to do sports or drive during the same time.

*Translated with Google translator. We apologize for any imperfection

By Dr. Javier Fernández-Palacios Martínez
Plastic surgery

Dr. Fernández-Palacios Martinez is a renowned specialist in Plastic, Reconstructive and Aesthetic Surgery, with a great reputation internationally. He is currently Chief of Plastic Surgery Dr. Negrin Hospital in Las Palmas, and participate in humanitarian actions as surgeon of the organization Doctors of the World, helping in areas with few resources. Training and professional experience make Dr. Fernández-Palacios in a premier plastic surgeon, being President of the Canary Society of Plastic, Reconstructive and Aesthetic Surgery and author and co-author of numerous medical articles published in scientific journals at international level.

*Translated with Google translator. We apologize for any imperfection

View Profile

Overall assessment of their patients