Over the years, factors such as pregnancy, nursing and the force of gravity take their toll on a woman's breasts. As the skin loses its elasticity, the breasts often lose their shape and firmness and begin to sag. Breast lift, or mastopexy, is a surgical procedure to raise and reshape sagging breasts. Mastopexy can also reduce the size of the areola, the darker skin surrounding the nipple. The breast mastopexy or breast lift plastic surgery is an operation that is very similar to the breast reduction surgery. There is a repositioning of the nipple and the areola above the breast crease (inframammary fold), and reshaping of the breast without the large removal of the breast tissue. It is often referred to as the changing of the skin envelope, without the significant change in contents of the envelope. The result is a nicer aesthetic result, and a firmer, younger-looking breast. If your breasts are small or have lost volume, breast implants inserted in conjunction with mastopexy can increase both their firmness and their size.