The shape of breasts change as woman age. Just like the rest of your skin the breasts lose elasticity as you age. Bodyweight changes can also cause changes in breast shape. Furthermore, motherhood (pregnancy and breastfeeding) are very common causes of breast shape change or breast sagging. Sagging and an overall loss of perkiness can be the result. 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 extra skin and then tightening the breast tissue. Your cosmetic surgeon will discuss what exact areas would be involved to create the shape you desire. As many women are looking to regain that perkiness, but are content with their current breast size, breast lifts have become increasingly commonplace. Breast lifts are commonly paired with tummy tucks, liposuction and breast augmentation as part of a “mommy makeover”.