As with all skin on the human body, it loses elasticity as time passes. This loss in elasticity of the breast skin results in an altered shape. They might also change due to breastfeeding, pregnancy, and weight changes. Sagging and an overall loss of perkiness can be the result. Many times, women are still very happy with the overall size/shape of their breasts and are only looking to regain the perkiness they had before. The desired perky, non-saggy, look is achieved by removing excess skin and then tightening the breast tissue. Your cosmetic surgeon will discuss what specific areas would be involved to create the shape you desire. As many women are looking to regain that perkiness, but are happy with their current breast size, breast lifts have become more and more commonplace. Breast lifts are commonly combined with tummy tucks, liposuction and breast implants as part of a “mommy makeover”.