The aesthetics of the breasts is important for most women and, as a result, plastic surgery performed on the breasts are among the most requested procedures performed in the United States and all over the world. The breast lift is performed to help the patient achieve perky, firm and elevated breasts after being confronted with breast sagginess. Mammary ptosis is defined by a falling of the mammary gland associated with a distention or relaxation of the skin envelope of the breasts. The breasts are in a position that is too low on the chest wall compared to what is anatomically correct, and the breasts can also lack volume on the upper pole and look empty. There are numerous causes of breast ptosis, and at this time we haven’t even discovered them all. However, in many cases, breast ptosis often occurs after weight fluctuations, pregnancies, breastfeeding or with the natural aging process. Breast ptosis can be isolated or associated with a certain level of mammary hypertrophy (big breasts). So what is the dynamic of the breast lift? Before anything else, we should mention that the surgery is performed to reposition the nipple and areola complex in a correct position, to re-center and ascend the mammary gland and to remove the excess skin to get harmonious looking breasts that are elevated on the chest wall, have a nice shape, and are perky. If you are suffering due to saggy breasts, the first step to get youthful looking breasts once again is to schedule a pre-operative meeting with the plastic surgeon. During this initial consultation, you will find out all the details about the dynamics of the breast lift, how to prepare for it, and what to expect in terms of recovery time. How is the breast lift surgery performed? Before the procedure, the patient is often given a general anesthetic. This means that you will be asleep during the surgery and have no memory or experience any pain. When the patient is asleep, the plastic surgeon will perform the incisions on the breasts. Depending on the severity of the breast ptosis, the plastic surgeon can make one or multiple incisions. If the breast ptosis is minor or moderate, a periareolar incision can be enough to allow the plastic surgeon to eliminate the excess skin and re-center the mammary gland tissue. If the mammary ptosis is more severe, the plastic surgeon will perform this incision, along with one or two more, vertically from the areola towards the inframammary fold and in the inframammary fold. The dynamics of the breast lift is highly dependent on the anatomy of the patient, the level of breast ptosis, and the outcomes the patient wants to achieve after the procedure. If the patient has overly small breasts, the plastic surgeon might also recommend getting implants while undergoing the breast lift.