The shape of breasts alter as woman age. Just like the rest of your skin the breasts lose elasticity as you get older. Weight 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 remedy. Many women are happy with the size and shape of their former breasts and merely want back their youthful shape. The desired perky, non-saggy, appearance is achieved by removing excess skin and then tightening the breast tissue. The specific areas affected and procedures that would be completed to reach your desired result will be unique to you. Your plastic surgeon will be able to explain this to you in full. As many women are wanting to regain that perkiness, but are content with their current breast size, breast lifts have become increasingly popular. Breast lifts are commonly paired with tummy tucks, liposuction and breast implants as part of a “mommy makeover”.