There are various degrees of sagging (ptosis):

Mild ptosis: Nipples that have dropped to the level of the breast crease
Moderate ptosis: Nipples have dropped below the level of the breast crease
Advanced ptosis: Nipples are pointing toward the floor

There are a quantity of possible surgical techniques based on the degree of ptosis, the areola, nipple position, breast volume, and the amount of excess skin. Mild ptosis may be fixed by breast augmentation. Extra improvement may be made by removing excess skin from around the areola. Moderate ptosis may only necessitate an incision around the areola. Complex ptosis has a need of supplementary vertical incision, in this case the incision moves from the areola to the breast fold. In the event that ptosis is strong, a third incision beneath the breast may be made.

The procedure may be doing under both local with intravenous sedation and general anesthesia. The operation takes about two hours, and you will usually return home the same day.

For the duration of mastopexy, the surgeon makes an incision which is normally in a small hole pattern: a circle around the areola and two incisions down the breast which will be closed to form one line. The surgeon then relocates the nipple and areola to a higher position and removes excess skin from beneath the breast. The procedure of closing the remaining skin lifts the breast pile to a higher position and reshapes the breast. In the long run no breast tissue is removed, so you will stay the same size, though your breasts will seem larger because the skin is tightened. At your discretion, a breast implant may be placed at the same time (see breast augmentation). Stitches close the incisions.

Wait until you are having children before undergoing a breast lift. Ptosis is likely to happen again after pregnancy.