Most women experience some sagging of their breast tissue.  This can be caused from the effects of gravity, natural loss of the skins elasticity, and the effects stemming from pregnancy and nursing.  Over time the breast loses its youthful shape and firmness and the areola (dark skin around the nipple) can become enlarged.  Women who want more youthful appearing breasts can realize major benefits from breast lift (mastopexy) surgery.  Breast lift surgery rejuvenates the appearance of the breast by: lifting the nipple into a more ideal position, improving the shape and contour of the breast, and reducing the size of the areola.  Several surgical techniques can be used to accomplish this.  The choice of technique is dependent on the amount of sagging, the size of the breasts, and whether or not any reduction or augmentation is needed.  The size of the scar will vary depending upon the surgical procedure needed to accomplish the desired results.  Following your consultation with Dr. Smith he will be able to explain which procedure is best for you.