Ptosis may sound like a very complicated term but put simply, it is the medical term for drooping. A plastic surgeon determines the type of work that will need to be done by a scale that measures the grade of ptosis of a woman’s breasts. There are four levels, which are determined by the distance between the nipple and the inframammary crease; the crease beneath a woman’s breast.
The first level is glandular ptosis or a mild droop, meaning the nipple is above the crease. The second level is Ptosis 1, which is when the nipple sits at the level of the crease. At this stage, a breast augmentation alone would be necessary. The third level Ptosis 2 is when the nipple is above the lower part of the breast but is under the inframammary crease. The fourth level is Ptosis 4; at this point the nipple is below the breast and the crease and points downward. For level 3 and 4, a breast lift is recommended in addition to a breast augmentation.

