| 1. Adolescents with breast ptosis often have sufficient upper gland presence, but have a tight constricted undersurface which tips over, may have asymmetry, and odd appearing breasts, and usually wish correction for general appearance and not necessarily for size.
2. Young women with sufficient breast volume may experience ptosis early due to thin elastic skin, periodic change in weight, and failure of the breasts to return to their best shape. They may have various types of constriction of the lower contour, and softening of the ligaments that support the breast.
3. Women who have excess weight have a greater degree of fat in the breasts as opposed to true dense glandular elements, and as a result of weight gain and loss, previous pregnancy including breast feeding, the breasts do not contract to their original size and tightness. The amount of ptosis can increase after repeated periods of these conditions. The duration of weight gain or breast feeding does not always directly influence the amount of sagging that follows.
4. Women after menopause can have ptosis due to involution or loss of breast tissue with replacement by fat, and diminished circulation which can render the skin loose. Any modification of the breasts in these patients should follow proper screening for signs of malignancy which can appear in this age group. Scarring in this group of patients is usually less apparent as a rule.