"Aging, nursing , pregnancy, weight gain, and weight changes can tend to decrease the elasticity and firmness of the breasts and this is a way to go and surgically reshape those breasts. It's a process of combining both skin excision and also bunching the breast, the actual tissue, of the breast up to create a more full appearance and youthful appearance," says plastic surgeon, Dr. Rob Schmid.
Dr. Schmid says you can stay the same size but firmer, or add an implant to move up a size. At any rate, both procedures are out-patient surgery today.