Arefanian, Saeed Department of Surgery - Washington University School of Medicine - Saint Louis - Missouri, USA , Azizaddini, Shahrzad Department of Radiology - Washington University School of Medicine - Saint Louis - Missouri, USA , Neishaboury, Mohammad Reza Department of Research - Kaviani Breast Diseases Institute (KBDI), Tehran , Zand, Sanaz Department of Research - Kaviani Breast Diseases Institute (KBDI), Tehran , Saadat, Soheil Tehran University of Medical Sciences, Tehran , Kaviani, Ahmad Department of Research - Kaviani Breast Diseases Institute (KBDI), Tehran
Background: Despite being a frequent plastic surgery complaint, the causes and
predisposing factors for breast ptosis have not been studied profoundly. Studying
ptosis causative factors will improve prevention, patient select and education,
surgical outcome, and patient education. The present study aims to demonstrate the
potential predisposing factors for breast ptosis.
Methods: In a 6-month study was conducted at the research department of
Kaviani Breast Diseases Institute, Tehran, Iran, all female patients referring to the
breast clinic were assessed. Patients with a background of severe comorbidities,
history of breast surgery, and breast cancer were excluded. Data on demographic
characteristics, current and past medical history, physical examination, and ptosis
presence grade were collected.
Conclusion: We suggest age and breast size as the predisposing factors for
breast ptosis. In our study, there was no relation between breast ptosis and history of
lactation or the number of pregnancies. The effects of hormonal and menstrual
status, as well as drinking and smoking habits, need to be investigated further.
Results: A total number of 141 patients, with the mean age of 35.8 years, were
included. About 72% of the patients had varying grades of breast ptosis. Patients
with ptosis tended to be of older age, weight, BMI, and brassiere size, were more
likely to be menopausal, and had begun wearing brassiere at younger ages. The
ordinal model revealed an association between ptosis and age, age at wearing
brassiere, current breast size, and smaller cup size in patients