Whether your breasts are large or small, their beauty truly depends on their firmness. Sagging breasts reduce a woman’s beauty and also self-esteem. In medical terminology, this condition is called “ptosis” of breast and its causes are not yet clearly understood.

Severity of ptosis of breast is measured based on the position of the nipple in relation to the inframammary crease, the point where the base of the breast is connected to the chest wall.

What Causes Sagging Breasts?

Though the exact cause of sagging breasts is not known yet, there are several factors known to influence the onset and degree of sagging breasts.

Smoking:You may be surprised to know that one of the main factors among these is cigarette smoking. A protein named elastin in our skin makes our skin elastic and smoking breaks it down and reduces the elasticity of skin which in turn leads to sagging breasts.

Pregnancy:Another cause of sagging breasts is pregnancy. It becomes more pronounced in case of multiple pregnancies.

Gravity:There is nothing surprising that gravity has a role to play in causing sagging of breasts and it’s especially prevalent in large-breasted women.

Gain or Loss of Weight: Another factor is a sizeable amount of weight gain or weight loss up to 50lbs or more.

Heredity: Still another cause is heredity that determines the skin elasticity of an individual.

Aging: The shape of a woman’s breast is due to the connective tissue and ligaments and elasticity is also due to estrogen. With aging, production of estrogen reduces and thus elasticity of skin reduces too thereby causing sagging breasts.


Diagnosis of sagging breasts can be done by a plastic surgeon or a general physician. A ptosis scale is used for grading the severity of the sagging by measuring the nipple position from the inframammary crease.

Regnault Ptosis Scale is the most commonly used scale and the severity is measured as follows:

Grade I – Mild Ptosis: In this case, the nipple is at the same level as that of the inframammary crease.

Grade II – Moderate Ptosis: In moderate ptosis, the nipple is located below the inframammary crease but with the lower breast tissue hanging below the nipple.

Grade III – Advanced Ptosis: Ptosis is said to be advanced when the nipple is located below the inframammary crease and by the level of maximum breast projection.

Grade IV – Severe Ptosis: Ptosis reaches severe level when the nipple is located far down the inframammary crease and by the level of maximum breast projection.


By the mid-30s of a woman, her breasts start losing fatty tissue leading to a reduction in size and fullness. One of the major signs of sagging breasts is an obvious shift of the areola to the lower part of breast.

Prevention through Exercise

A woman’s breasts are mostly composed of soft, glandular tissue and not any muscular tissue. This clears the fact that for making the breasts firm and toned, the muscles below the breasts have to be made firm.

Lying below and behind the breasts are pectoralis major and pectoralis minor muscles. Therefore any exercises working on these muscles can eventually prevent sagging of breasts.

While we can rectify sagging of breasts with a cosmetic surgery Bondi Junction from Dr. Naveen Somia, we can also prevent it in the first place with the following exercises. Make sure you consult your fitness instructor or doctor before doing these exercises.

Chest Fly: Holding 3-5lbs weights in both hands lie down on your workout bench with feet pressed flat on the floor. Raise arms at 90° from the body. Lower arms to sides up to the chest level with elbows bent slightly.

Dumbbell Lateral Exercise: With a 3.5lbs dumbbell in each hand and with feet approximately shoulder apart, stand upright. Raise arms sideways up to shoulder level and lower again. Do at least 2 sets of 15 repetitions.

And if you have already experiencing sagged breasts, you can always contact Dr Naveen Somia for breast lift. All in all, there is nothing to worry or be ashamed, as you have a solution for every problem.

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