Ptosis of the breast refers to drooping or sagging of the breast. Breast ptosis is related to the laxity of the superficial fascia, suspensory ligaments and skin. Ptosis is a natural part of the aging process, though the rate at which a woman develops ptosis depends on many factors. Ptosis can result after pregnancy, or after weight gain and subsequent loss. Breast size is a factor in ptosis, with larger breasts becoming ptotic more quickly. Pseudoptosis is the condition where the nipple is at the level of the inframammary crease, but the breast itself has not dropped. Surgeons offering plastic surgery to address ptosis categorize the condition by the relationship that the nipple has to the inframammary crease. Anatomically, the breasts are composed of soft, glandular tissue, with few support structures, such as connective tissue. Breasts are composed of the mammary glands, which remain relatively constant throughout life, as well as the adipose tissue or fat tissue that surrounds the mammary glands. It is the amount and distribution of adipose tissue and, to a lesser extent, glandular tissue that leads to variations in breast size. In addition, the breasts contain ligaments, although their exact function as related to breast support has not been agreed upon by experts. These ligaments and the overlying skin referred to as the dermal brassiere help determine the resulting breast shape.

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Substance-related disorders

Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision, also known as DSM-IV-TR, is a manual published by the American Psychiatric Association (APA) that includes all currently recognized mental health disorders. The coding system utilized by the DSM-IV is designed to correspond with codes from the International Classification of Diseases, commonly referred to as the ICD. Since early versions of the DSM did not correlate with ICD codes and updates of the publications for the ICD and the DSM are not simultaneous, some distinctions in the coding systems may still be present. For this reason, it is recommended that users of these manuals consult the appropriate reference when accessing diagnostic codes.

Alcohol-related disorders

• Alcohol
  • 305.00 Abuse
  • 303.90 Dependence
  • 291.8 -Induced anxiety disorder
  • 291.8 -Induced mood disorder
  • 291.1 -Induced persisting amnestic disorder
  • 291.2 -Induced persisting dementia
  • 291.5 -Induced psychotic disorder, with delusions
  • 291.3 -Induced psychotic disorder, with hallucinations
  • 291.8 -Induced sexual dysfunction
  • 291.8 -Induced sleep disorder
  • 303.00 Intoxication
  • 291.0 Intoxication delirium
  • 291.9 -Related disorder NOS
  • 291.8 Withdrawal
  • 291.0 Withdrawal delirium

Amphetamine (or amphetamine-like) related disorders

• Amphetamine (or amphetamine-like)
  • 305.70 Abuse
  • 304.40 Dependence
  • 292.89 -Induced anxiety disorder
  • 292.84 -Induced mood disorder
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 -Induced sexual dysfunction
  • 292.89 -Induced sleep disorder
  • 292.89 Intoxication
  • 292.81 Intoxication delirium
  • 292.9 -Related disorder NOS (includes Amphetamine Withdrawal Psychosis)
  • 292.0 Withdrawal

Caffeine-related disorders

• Caffeine
  • 292.89 -Induced anxiety disorder
  • 292.89 -Induced sleep disorder
  • 305.90 Intoxication
  • 292.9 -Related disorder NOS

Cannabis-related disorders

• Cannabis
  • 305.20 Abuse
  • 304.30 Dependence
  • 292.89 -Induced anxiety disorder
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 Intoxication
  • 292.81 Intoxication delirium
  • 292.9 -Related disorder NOS

Cocaine-related disorders

• Cocaine
  • 305.60 Abuse
  • 304.20 Dependence
  • 292.89 -Induced anxiety disorder
  • 292.84 -Induced mood disorder
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 -Induced sexual dysfunction
  • 292.89 -Induced sleep disorder
  • 292.89 Intoxication
  • 292.81 Intoxication delirium
  • 292.9 -Related disorder NOS
  • 292.0 Withdrawal

Hallucinogen-related disorders

• Hallucinogen
  • 305.30 Abuse
  • 304.50 Dependence
  • 292.89 -Induced anxiety disorder
  • 292.84 -Induced mood disorder
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 Intoxication
  • 292.81 Intoxication delirium
  • 292.89 -persisting perception disorder
  • 292.9 -Related disorder NOS

Inhalant-related disorders

• Inhalant
  • 305.90 Abuse
  • 304.60 Dependence
  • 292.89 -Induced anxiety disorder
  • 292.84 -Induced mood disorder
  • 292.82 -Induced persisting dementia
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 Intoxication
  • 292.81 Intoxication delirium
  • 292.9 -Related disorder NOS

Nicotine-related disorders

• Nicotine
  • 305.1 Dependence
  • 292.9 -Related disorder NOS
  • 292.0 Withdrawal

Opioid-related disorders

• Opioid
  • 305.50 Abuse
  • 304.00 Dependence
  • 292.84 -Induced mood disorder
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 -Induced sexual dysfunction
  • 292.89 -Induced sleep disorder
  • 292.89 Intoxication
  • 292.81 Intoxication delirium
  • 292.9 -Related disorder NOS
  • 292.0 Withdrawal

Phencyclidine (or phencyclidine-like) related disorders

• Phencyclidine (or phencyclidine-like)
  • 305.90 Abuse
  • 304.90 Dependence
  • 292.89 -Induced anxiety disorder
  • 292.84 -Induced mood disorder
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 Intoxication
  • 292.81 Intoxication delirium
  • 292.9 -Related disorder NOS

Sedative-, hypnotic-, or anxiolytic-related disorders

• Sedative, hypnotic, or anxiolytic
  • 305.40 Abuse
  • 304.10 Dependence
  • 292.89 -Induced anxiety disorder
  • 292.84 -Induced mood disorder
  • 292.83 -Induced persisting amnestic disorder
  • 292.82 -Induced persisting dementia
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 -Induced sexual dysfunction
  • 292.89 -Induced sleep disorder
  • 292.89 Intoxication
  • 292.81 Intoxication delirium
  • 292.9 -Related disorder NOS
  • 292.0 Withdrawal
  • 292.81 Withdrawal delirium

Polysubstance-related disorder

• 304.80 Polysubstance dependence

Other (or unknown) substance-related disorder

• Other (or unknown) substance
  • 305.90 Abuse
  • 304.90 Dependence
  • 292.89 -Induced anxiety disorder
  • 292.81 -Induced delirium
  • 292.84 -Induced mood disorder
  • 292.83 -Induced persisting amnestic disorder
  • 292.82 -Induced persisting dementia
  • 292.11 -Induced psychotic disorder, with delusions
  • 292.12 -Induced psychotic disorder, with hallucinations
  • 292.89 -Induced sexual dysfunction
  • 292.89 -Induced sleep disorder
  • 292.89 Intoxication
  • 292.9 -Related disorder NOS
  • 292.0 Withdrawal