Apgujeong Breast Surgery: Causes of Sagging, Diagnosis, Recommended Candidates, and Surgical Methods

Breast sagging, or breast ptosis, is a concern for many women and is a problem that affects both physical changes and self-confidence.

Apgujeong breast surgery can establish a customized plan that improves each person’s condition according to the various types and degrees of sagging.

Let’s take a detailed look at the causes of breast sagging, objective diagnostic criteria, and correction methods by type.

🩺 Causes of Breast Sagging

The phenomenon in which the breasts lose elasticity and sag downward results from a combination of factors. The main causes include the following.

• Childbirth and breastfeeding: During pregnancy and breastfeeding, the glandular tissue develops and then atrophies, causing the skin to loosen and sag.

• Reduced elasticity around the breasts due to aging: As people age, collagen and elastic fibers in the skin decrease, weakening the supporting structure.

• Rapid weight changes (both gain and loss): When weight suddenly increases or decreases, the breast volume changes rapidly, causing the skin to stretch.

• Loss of upper breast fat: As the volume in the upper part of the breast decreases, the overall contour changes to look elongated and drooping downward.

• Congenital sagging and breast hypertrophy: Sagging can also occur when the breasts are large and heavy compared with the body frame,

or when breast tissue is congenitally lacking in elasticity.

📋 Diagnosis of Sagging Breasts

The condition of sagging breasts is carefully diagnosed during an Apgujeong breast surgery consultation based on the position of the nipples.

This is an important criterion for determining the type and extent of surgery.

Normal to mild (slight grade 1) sagging:

The nipples are located slightly below the inframammary fold, or the nipples themselves are above it but only the breast tissue is sagging, which is a form of pseudoptosis.

Improvement can be expected with a simple corrective procedure or a small-scale operation.

Moderate (grade 2) to severe (grade 3) sagging:

The nipples are clearly located below the inframammary fold, and the sagging is pronounced. At this stage, depending on the degree of sagging, a breast lift,

breast augmentation, or breast reduction must be planned in combination. Careful diagnosis through consultation with an Apgujeong breast surgery specialist is necessary.

👩‍⚕️ Recommended Candidates

People with a variety of sagging types and symptoms as follows can expect satisfying results through Apgujeong breast surgery.

• People whose volume has decreased and whose skin elasticity has been lost after childbirth.

• People whose breasts have shrunk overall or drooped completely downward due to aging.

• People whose upper breast volume has become insufficient after dieting, making the breasts look saggy.

• People with large, heavy breasts accompanied by sagging and hypertrophy.

• People whose sagging is severe enough to affect the fit of clothing and cause discomfort in daily life.

🔧 Surgical Methods

Surgical methods for correcting sagging breasts are customized by considering the patient’s condition, body type, and desired shape.

The incision methods and type-specific correction plans mainly considered in Apgujeong breast surgery are as follows.

Surgical methods by incision type

Periareolar incision

Applied to mild sagging cases with little breast volume and no need for a major lift of the nipple position.

Its advantage is that the incision line remains only around the areola, making the scar relatively less noticeable and the recovery faster.

Vertical incision

Performed when the breast is wide from side to side, and it allows the nipple position to be adjusted appropriately.

Since there is no incision at the inframammary fold, scarring is relatively limited.

Inverted-T incision (anchor incision)

Used for severe sagging or hypertrophy cases where the breast has a lot of volume and the nipples need to be lifted significantly.

Although it is more likely to leave scars than other surgical methods, it is highly effective for reduction and shape improvement.

Customized correction by type

Breasts that have lost volume and look saggy

: Corrected by combining breast augmentation using implants or autologous fat, gathering the glandular tissue, and restoring volume in the lower part of the breast.

Breasts that have completely sagged due to aging

Multiple procedures such as augmentation, lifting, and glandular tissue fixation must be performed in combination to reconstruct the shape.

Based on extensive experience, Apgujeong breast surgery presents the most suitable surgical method for each patient and seeks both functional and aesthetic improvement.

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