As time passes, your breasts change shape and normal sagging can happen. 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. Changes in breast shape and “perkiness” can also be effected by pregnancy, breastfeeding and also changes in weight. Sagging and an overall loss of perkiness can be the outcome. 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 goal perky, non-saggy, appearance is achieved by removing extra skin and then tightening the breast tissue. Your plastic surgeon will discuss what specific areas would be involved to give you the shape you desire. Breast lifts become more popular as a less dramatic alternative to more traditional breast augmentation. Breast lifts are commonly combined with tummy tucks, liposuction and breast augmentation as part of a “mommy makeover”.