Mammary hypertrophy is an increase of volume of the mammary glands which constitute the first cause of mammary ptosis. A ptosis can arise, without hypertrophy, notably in case of important cutaneous laxity or after a pregnancy ( when volume of breasts decreases). Inadequacy which exists between cutaneous bag and contents (gland and fat) is cause of the ptosis.

The mammary ptosis is operable if the patient presents a stable weight for several months, and results will be durable only for lack of important variations of weight and volume of breast. The existence of an important obesity can constitut a contraindication in the intervention, for multiple reasons, in particular aesthetic ( inferior result) and surgical (increased risk of complications). It is possible to operate a mammary hypertrophy from the age of 15 or 16 years, when mammary growth is complete.

Mammary ptosis correction, without changment of volume, on a 23 years old. (result after 5 months)

Surgical methods of treatment aim to reduce the volume of the gland, to adapt the skin to the staying volume, to reposition the areole in an ideal height, and to restore a harmonious aspect to the breast..

Mammary plasty : photography on right shows the result 2 months after surgery of reduction. Scars are reddish but shape is still harmonious.

The cutaneous scars are inevitable in this type of intervention. The length scars is proportional, on the one hand in the importance of the necessary cutaneous resection (so the scar is all the more long that the hypertrophy was important and that its reducing was considerable), on the other hand in the quality of the skin (the more it is young and elastic, the more scars can be brief). The great majority of the techniques leave one scar in T inverted under the nipple, as well as a circular scar around nipples

Usual operating suites usual are the following ones :

• Hospitalization of 3 days allowing drainage, control of pain, supervision, and change of dressings.
• Existence of a post-operating oedema..
• Existence of post-operating ecchymosis, evolving towards the disappearance in 15 days.
• First shower after 5 days, first bath after 15 days.
• Hypoesthesia or anesthesia of nipples during 1 or 2 months.
• Permanent wearing of adapted bra during 1 month.
• Sport break during 1 or 2 months.

The operated breast remains natural and sensitive, notably in hormonal variations.
Beyond the aesthetic result, the intervention has, generally , a favorable echo on the practice of sports, the improvement of vestimentary possibilities, the balance of the weight, and the psychological status.

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