As with all skin on the human body, it’s elasticity lowers as time passes. This loss in elasticity of the breast skin results in a change in shape. 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 women are happy with the size and shape of their former breasts and merely want back their youthful shape. The desired perky, non-saggy, look is achieved by removing extra skin and then tightening the breast tissue. Your plastic surgeon will discuss what specific areas would be involved to create the shape you want. Breast lifts have grown in popularity as a less dramatic alternative to more traditional breast augmentation. Breast lifts are often combined with tummy tucks, liposuction and breast implants as part of a “mommy makeover”.