Breast droop is a result of pregnancy and breastfeeding. It is the result of hormonal softening of the ligaments responsible for keeping the breast up and of tissue stretching due to breast enlargement during pregnancy.
Breast droop after pregnancy is often accompanied by loss of breast tissue, together giving the characteristic, sagging look with flatness in the upper pole of the breast. Minor degrees of breast droop can be adequately corrected by breast augmentation alone. However, once the breast droop has reached a point where the nipple is at or below the level of the breast crease, mastopexy is the only way to restore the youthful, high nipple position.
Mastopexy is often combined with augmentation if decrease in breast tissue is also a problem. Together, these procedures can restore the breast into its natural fullness, shape and position. The operation can be done either under intravenous sedation or general anaesthetic depending on the individual situation.