As time goes by, 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. Weight changes can also cause changes in breast shape. Furthermore, 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 times, women are still very content with the overall size/shape of their breasts and are simply looking to regain the perkiness they previously had. The goal perky, non-saggy, appearance is achieved by removing excess skin and then tightening the breast tissue. Your plastic surgeon will discuss what exact areas would be involved to create the shape you want. Breast lifts have grown in popularity as a minimalist alternative to more traditional breast augmentation. Breast lifts are commonly combined with tummy tucks, liposuction and breast implants as part of a “mommy makeover”.