SAMBA Diagnostics

TOP PLASTIC SURGEON

Ptosis Diagnostics (staging your own breast ptosis)

Evaluating your breast and deciding on the correct procedure for you

Definition of “Ptosis” (Pronounced, TOESIS): a sagging or prolapse of an organ.

Figure 1 – Kirwan Classification Stages A-F

 

Dr. Kirwan explains that this is a simple guide and does not replace a personal consultation with him. He encourages you to call and schedule an appointment so that he can evaluate your breast and recommend the appropriate treatment. There are other deformities of the breast, which are not included in this classification (such as tubular breast) which can only be evaluated adequately at the time of a consultation. This page is presented, as a guide to help you better understand what surgical treatment may better suit your needs. It is not intended as a final diagnosis or an opinion.

 

(IMC: Infra-Mammary Crease-fold below the breast) Staging of Breast “Ptosis” published in the Proceedings of the Breast Surgery and Body Contouring Symposium, Eldorado Hotel, Santa Fe , NM , August 23rd and 24th 2001.

 

First, Stage your Ptosis. Place a 12″ ruler horizontally at the crease (IMC) under your breast.  Mark the level of the crease in the midline between the breasts. Now mark this point in the middle of the breast above the nipple. [Note that the nipple may not be in the middle of the breast. Measure the distance between this point and the level of the nipple in centimeters. Is the nipple above or below the level of the crease?

[See Figure 1 to stage the Breast Ptosis between A and F. Stage the Ptosis A-F depending on how many centimeters the nipple is above or below the crease.]

 

Second, Take the Pencil test.  Will a pencil stay under your breast if placed at the crease under the breast? Alternatively, does it drop to the floor?

 

Figure 2

If a pencil stays, advance your stage one level if you were a level A or B to start with. If the nipple is greater than 2 cm. above the crease and the pencil test is negative then you don¹t have significant breast Ptosis or a breast implant alone may correct it. See Figure 2. To understand the best procedure for your own breast See Table 1 if you want a lift without an implant or Table 2 if you want a lift with an implant.

Definitions and explanation of abbreviations:

AM: Areolar Mastopexy (scar limited to margin of areola) with a purse-string closure gathering the extra skin around the areola-no vertical scar

 

SAMBA: Simultaneous Areola Mastopexy Breast Augmentation. Areolar Mastopexy (scar limited to margin of areola) purse-string closure combined with a breast implant.

Table 1
Stage A-F Without Implant
Stage A, B AM alone
Stage C, D, E, F AM or Breast Auto-augmentation
With vertical mastopexy
Table 2
Stage A-F With Implant
Stage A, B, C SAMBA
Stage E, F Augmentation / Mastopexy with
vertical mastopexy or same with
short horizontal scar at IMC

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Why choose Dr. Kirwan as your cosmetic surgeon?

Dr. Kirwan, because of his extensive experience, international connections and exposure, understands an enormous variety of techniques, which he utilizes to individualize the result for each patient.

1
Listed as TOP 20 Plastic Surgeons Worldwide by Vogue Magazine.
2
We are a boutique practice as we believe in offering personalized care to each patient. Every patient is a VIP. You will see Dr. Kirwan himself at every single appointment including follow up appointments.
3
Uses special techniques to reduce trauma or scarring such as VISTASEAL™ Fibrin Sealant during facelift surgery and endoscopic surgery to perform minimal incision brow lift.
4
His patients greatly appreciate the compassion, professionalism and excellent care provided by him and his staff. Celebrities trust Dr. Kirwan for cosmetic makeovers.
5
Recognized for introducing and training other surgeons on his own pioneer procedures such as his breast innovation technique SAMBA™ and many more.
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Request a Consultation.

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NORWALK OFFICE
10 Mott Avenue, Suite 1A
Norwalk, CT 06850

Phone: (203) 838-8844
eFax: (203) 774-1177
Email: info@drkirwan.com

Plastic Surgery Practice in Norwalk CT with clients from CT, NY, NJ – Manhattan, Northern New Jersey towns, surrounding areas of Greenwich, New Canaan, Stamford, Westport, Darien, Wilton, Weston, Easton, Fairfield, Bridgeport, Trumbull, Ridgefield, Danbury, Monroe, Milford, Bedford, Armonk, Mt Kisco, Bedford Hills, Rye, Harrison, New Haven, Mamaroneck, Larchmont, White Plains, Scarsdale, Westchester County, Fairfield County. New York and from around the world.

*Disclaimer: results are not guaranteed, may not be permanent, and can vary per individual. Before and after photographs of surgical results are of procedures performed solely by Dr. Kirwan.  Some images on this web site are of models, not actual patients. Please see our full disclaimer.

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