Postpartum Breast Lift with and Without Implants

Breasts are exposed to many physiologic changes during pregnancy and breastfeeding. Both periods affect breast shape and contour and often result in breast ptosis. A detailed approach is needed to reverse the ptosis and to restore a youthful appearance. The discussion of breast rejuvenation should include whether breast implants should be recommended. Most experienced aesthetic breast surgeons feel that the addition of an implant to the sagging breast results in a more predictable breast mound elevation and longer lasting result due to the inherent structure of the implants, which confer immediate shape enhancement to the breast. Circumvertical mastopexy (CVM) by design helps to re-create an ideal breast shape. The technique involves tightening in a vertical direction that maximally elevates the glandular tissues and restores projection more than any other method. Limitations of this technique are seen with massive ptosis and where Weiss pattern excision of redundant lower pole tissues is sometimes a preferable option.