As time passes, your breasts change shape and natural sagging can occur. This is not unlike the skin covering the rest of your body. The elasticity of all skin decreases over time, and this is no different for the skin of your breasts. Bodyweight changes can also cause changes in breast shape. Additionally, motherhood (pregnancy and breastfeeding) are very common causes of breast shape change or breast sagging. This can result in a significant loss of “perkiness” or sagging that a large number of women want to reverse. Many women are happy with the size and shape of their former breasts and merely want back their youthful shape. Breast lifts need two procedures to be performed together. First the excess skin is removed and then breast tissue is “tightened”. Your plastic surgeon will discuss what specific areas would be involved to create the shape you desire. Breast lifts become more popular as a minimalist alternative to more traditional breast augmentation. Breast lifts are often paired with tummy tucks, liposuction and breast implants as part of a “mommy makeover”.