The shape of breasts change as woman age. Just like the rest of your skin the breasts lose elasticity as you age. They may also change due to breastfeeding, pregnancy, and weight changes. This can result in a dramatic loss of “perkiness” or sagging that a large number of women want to remedy. Many women are happy with the size and shape of their former breasts and merely want back their youthful shape. The goal perky, non-saggy, appearance is achieved by removing extra skin and then tightening the breast tissue. The specific areas affected and procedures that would be done to reach your desired result will be specific to you. Your plastic surgeon will be able to explain this to you fully. The popularity of breast lifts has increased substantially over recent years. This more minimalist surgery can assist in achieving that youthful breast appearance without the need for more traditional breast augmentation. The surgery is also often offered in addition to tummy tucks as part of a mommy makeover.