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The rate at which a woman's breasts droop and the degree of ptosis depends on many factors. The key factors influencing breast ptosis over a woman's lifetime are cigarette smoking, her number of pregnancies , gravity , higher body mass index , larger bra cup size, and significant weight gain and loss. Many women and medical professionals mistakenly believe that breastfeeding increases sagging. It is also commonly believed that the breast itself offers insufficient support and that wearing a bra prevents sagging which has not been found to be true. Plastic surgeons categorize the degree of ptosis by evaluating the position of the nipple relative to the infra-mammary fold , the point at which the underside of the breasts attach to the chest wall.

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