Single Stage Nipple-Sparing Mastectomy and Reduction Mastopexy in the Ptotic Breast

Figure 1

Artist’s depiction of the breast ptosis grading system proposed by Regnault et al. Normal: areola above the inframammary fold (IMF) and above the gland contour; Grade I: areola at the IMF and above the gland contour; Grade II: areola below the IMF and above the gland contour; Grade III: areola below the IMF and below the gland contour; Pseudoptosis: areola at the IMF with glandular ptosis; Parenchymal Maldistribution: areola at the IMF with loose, hypoplastic glandular skin.