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April 7, 2025

Big Saggy Boobs (Breast Ptosis)

Understanding and Treating Breast Ptosis: Solutions for Sagging Breasts

Breast ptosis, commonly known as sagging breasts, is a natural condition that affects many women throughout their lives. While completely normal, this condition can cause physical discomfort and emotional distress for those experiencing it. At Estherian Clinic, our specialists Dr. Cengizhan Ekizceli and Dr. Mehmet Yıldıran provide comprehensive treatment options for women seeking to address breast ptosis.

What Causes Breast Ptosis?

Breast sagging occurs when breast tissue loses its elasticity and firmness. Several factors contribute to this natural process:

  • Aging: As women age, skin elasticity decreases and ligaments stretch, resulting in sagging
  • Pregnancy and breastfeeding: Hormonal changes and breast engorgement can lead to tissue stretching
  • Weight fluctuations: Significant weight gain and loss can stretch breast skin
  • Genetics: Family history plays a role in breast tissue composition and tendency to sag
  • Gravity: The continuous downward pull affects breast position over time
  • Smoking: Damages elastin and collagen, reducing skin elasticity
  • Sun exposure: UV damage accelerates breakdown of supporting tissues

Degrees of Breast Ptosis

Medical professionals classify breast ptosis in degrees to help determine the most appropriate treatment approach:

GradeDescriptionVisual Appearance
Mild (Grade I)Nipple is at the level of the inframammary foldMinimal sagging, breast still appears relatively perky
Moderate (Grade II)Nipple is below the inframammary fold but still above the lower contour of the breastNoticeable sagging, nipple points slightly downward
Severe (Grade III)Nipple is below the inframammary fold and at the lowest contour of the breastSignificant sagging, nipple points downward
PseudoptosisNipple is above or at the inframammary fold, but the breast tissue sags below the foldLower portion of breast appears elongated

Treatment Options for Breast Ptosis

Depending on the severity of ptosis and individual goals, several treatment options are available:

Non-Surgical Approaches

While non-surgical approaches can’t completely reverse significant sagging, they may help with mild cases or slow progression:

  • Supportive bras: Properly fitted bras can provide temporary lift and support
  • Chest exercises: Strengthening pectoral muscles may improve appearance slightly
  • Good posture: Proper posture can create the appearance of higher breasts
  • Skin care: Moisturizing and sun protection help maintain skin elasticity

Surgical Solutions

For moderate to severe ptosis, surgical intervention offers the most dramatic and long-lasting results:

Breast Lift (Mastopexy)

A breast lift is the primary surgical procedure for addressing breast ptosis. This operation:

  • Removes excess skin
  • Reshapes breast tissue
  • Repositions the nipple-areola complex
  • Creates a more youthful breast contour

At Estherian Clinic, our surgeons perform various mastopexy techniques based on individual needs:

  • Crescent lift: Minimal incision for mild sagging
  • Periareolar (donut) lift: Circular incision around the areola for mild to moderate ptosis
  • Vertical (lollipop) lift: Includes a vertical incision for moderate sagging
  • Anchor (inverted-T) lift: Most comprehensive approach for severe ptosis

Learn more about breast lift procedures at Estherian

Breast Lift with Augmentation

For women seeking both lift and volume:

  • Combines mastopexy with breast implants
  • Addresses both sagging and size/shape concerns
  • Creates fuller upper pole fullness
  • Provides more dramatic results for some patients

Explore breast augmentation options at Estherian

Breast Reduction with Lift

For women with large, pendulous breasts experiencing:

  • Back, neck, or shoulder pain
  • Skin irritation beneath breast fold
  • Difficulty finding clothes that fit properly
  • Activity limitations due to breast size

This procedure removes excess tissue while lifting the remaining breast to a higher position.

Read about breast reduction procedures at Estherian

Recovery and Results

Recovery from breast lift surgery typically includes:

  • Initial recovery: 1-2 weeks before returning to light activities
  • Full recovery: 4-6 weeks for complete healing
  • Results timeline: Initial results visible immediately, final results after swelling subsides (3-6 months)
  • Scarring: Fades significantly over 12-18 months
  • Longevity: Results can last many years with proper care

Why Choose Estherian Clinic?

At Estherian Clinic, founded in 2020, our specialist surgeons Dr. Cengizhan Ekizceli and Dr. Mehmet Yıldıran provide exceptional care for breast surgery patients:

  • Expert surgical team: Both doctors are graduates of Istanbul University Cerrahpaşa Medical Faculty, Turkey’s top medical school
  • Comprehensive approach: Our 100+ team members provide complete pre-operative and post-operative care
  • Dedicated follow-up: Close monitoring to minimize complications and ensure optimal healing
  • Experienced specialists: Our surgeons perform multiple procedures daily, maintaining the highest skill levels
  • Full-service care: Includes hotel accommodations, transfers, and translation services

Conclusion

Breast ptosis is a natural condition affecting many women, but effective treatments are available. Whether you’re seeking a surgical solution or advice on non-surgical management, the specialists at Estherian Clinic can help you achieve your goals with safe, effective procedures tailored to your unique needs.

Contact us today to schedule a consultation and learn more about your options for addressing breast ptosis.

Medical References