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Breast Sagging Surgery to Regain Firmness

맘스외과성형외과 · *당신을 위한 맘스외과성형외과* · September 25, 2023

Even in today’s society, where people live in many different ways, women are still often expected to have an image like that of a mother who builds and cares for a family. At the s...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: 맘스외과성형외과

Original post date: September 25, 2023

Translated at: April 25, 2026 at 8:38 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

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Even in today’s society, where people live in many different ways, women are still often expected to have an image like that of a mother who builds and cares for a family. At the same time, the number of women voicing opposition to this is also gradually increasing.

If we were to pick a characteristic part of the female body, it would probably be the breasts. Since humans are mammals, babies are born and raised by being fed milk, so this is originally an organ for that purpose. But unlike other animals, people also lead more complex social lives and pursue self-fulfillment, so breasts have also been regarded as an element that enhances appearance. The pursuit of an S-shaped figure emerged in this context as well. For that reason, when the shape changes for various reasons, there have often been people looking for ways to improve it, such as breast sagging surgery.

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It would be nice if a person’s appearance could stay fixed at one period of life that they personally like best, but the laws of nature do not allow that for most living beings. As people age, aging progresses, and as a result, the skin throughout the body loses elasticity, sags, changes shape, and wrinkles appear. Muscles and joints also gradually become stiffer, and overall the body becomes less efficient to use. Aging often plays a large role in breasts sagging as well.

As skin elasticity decreases with age, the breasts gradually sag downward under their own weight. Of course, this can happen even if a person is not very old. It also often appears in women who have experienced childbirth. Due to pregnancy and childbirth, the breasts develop, but after the breastfeeding period ends, they are supposed to return to their original state. However, in some cases, the skin that stretched during that process is unable to regain its elasticity. It can also happen after going through yo-yo weight fluctuations from being too focused on dieting.

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For people who worry because their breasts hang downward in a sagging shape, some others dismiss it casually. They say things like, “That’s just how it is when you get older,” “That happens after having children,” or “Don’t worry about how everyone ages.” Of course, there are people who truly do not care much, but that is a separate matter. In reality, sagging breasts can cause various inconveniences beyond simply looking unattractive to oneself.

Because a heavy, rounded area has sagged, the skin touches itself and does not get enough ventilation, which can lead to skin irritation. People who originally had a fuller volume may also find their body struggles more and experiences pain because of the added weight pulling downward. Some people also have trouble because the clothes they used to wear no longer fit properly. When these kinds of practical inconveniences arise, it naturally leads people to look for whether there is a breast sagging surgery method.

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Sometimes people think they need to take action even when there is no sagging. This can be seen as a result of the fact that no two bodies are the same. In some cases, there is especially little volume in the upper part of the breast, giving it a somewhat flat shape. In such cases, because the volume is concentrated in the lower part, it is easy to think the breasts are sagging. That is why it is necessary to know the proper 기준. When checking whether the breasts are sagging, the correct way is to look not at the shape as it appears to the eye, but at the difference in height between the nipple and the inframammary fold. In a person without sagging, the nipple and breast tissue are positioned above the fold line. If there is sagging, the two are at the same height, or the nipple is positioned below the fold line. If there is no difference in height and they are level, it is considered stage 1 sagging, and the farther below that it appears, the more severe it can be assessed up to stage 3. Therefore, before vaguely assuming that breast sagging surgery is necessary for you, it is better to check the degree using the correct method.

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So then, how is this sagging breast shape improved? Various discussions also arise about that method. As a result, misinformation spreads and misunderstandings develop between people. Among these, it is especially common to think that when correcting sagging, placing implants, as in volume enhancement, will shape the breasts and improve them.

In practice, there have often been cases where people proceeded with an augmentation approach using implants for breast sagging surgery based on that idea, only to end up with unsatisfactory results. Of course, there are certainly people who do improve this way, but one should not assume that implants alone will solve everything. Even among people with the same degree of sagging, detailed factors such as skin and tissue elasticity, the extent of sagging, the original breast size, and the amount of remaining breast tissue all differ. That is why it is necessary to first accurately understand the current condition and proceed in a way that fits it.

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The basic method of breast sagging surgery is as follows. First, because the skin has lost elasticity and is hanging down, it is necessary to trim away the excess skin left behind when it is pulled upward.

While improving the breast into a shape that overall rises naturally upward, the areola and nipple are also lifted so they do not remain too low, bringing them into a natural position. In this process, how delicately the breast shape can be refined into an aesthetically pleasing form is also an important issue. In addition, along with improving the part that causes sagging, a properly sized implant can be used to improve the shape and volume and create a firmer appearance. It is best to understand this as the underlying principle.

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This is because implants are not included in every breast sagging surgery approach. It can vary depending on factors such as the size of the bust a person originally has. In cases where there is some volume but not fullness, with little tissue and sagging as well, it is common to combine correction of the sagging with augmentation using implants, as noted earlier.

This can include cases where, after the breastfeeding period ends, the breast tissue becomes thin, the volume decreases, and sagging occurs in someone who had a small size to begin with. If a person has a moderate amount of volume and tissue, correcting the sagging alone can still produce good results. On the other hand, there are people whose size is large, whose tissue amount is also very great, and whose sagging is severe. Because the original large size may have contributed to more pronounced sagging, it can be ideal to reduce the size while also correcting the sagging. Since everyone is different in this way, I would say it is best to carefully look for a place that can accurately diagnose and analyze those differences and improve them with the right method.

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