Introduction

Although breast ptosis is assumed to be an indicator of ageing and plays important role in a woman’s attractiveness and body satisfaction, there is a paucity of epidemiological and quality-of-life data.

Aim of the research

To provide epidemiologic benchmark for rejuvenation claims in breast aesthetic surgery.

Material and methods

We examined the prevalence of breast ptosis and measured its impact on women’s quality of life by using the Rainbow score and BREST-Q questionnaire. A total of 605 volunteers participated in Study 1, and data from 1907 photomodels was analysed in Study 2.

Results

Among women aged 18–22 years, clinically significant ptosis was present in 30% and 36% participants of Study 1 and Study 2, respectively. Severity of breast ptosis, but not age, was correlated with breast-related quality-of-life scores. Significant differences in all breast-related quality-of-life measures were found between non-ptotic, mildly ptotic, and severely ptotic respondents. The self-reported degree of ptosis influenced the difference in breast satisfaction when clothed or naked (H(4) = 70.926, p < 0.001). Women self-declaring an adolescent breast shape expressed significantly higher desired breast positioning than all other groups (p < 0.006). Women with ptotic breasts assumed a higher degree of breast ptosis in age-matched peers compared to women without breast ptosis (p < 0.001). Additionally, we found a tendency for underestimation of breast ptosis in younger age groups and a tendency for overestimation of breast ptosis in older age groups.

Conclusions

Breast ptosis is a prevalent phenomenon in young adult women. One’s breast ptosis status has a negative impact on quality of life and biases one’s perception of age norms.