The shape and size of the female breast can, as the years go on, undergo considerable change. Hormone-related fluctuation in the monthly cycle, pregnancy and breast-feeding as well as gravitational influences represent major contributors

The size and shape of the breast are formed as discussed together with the Client prior to the operation. It has been raised significantly and is once again firm and compact.

A big and heavy breast can be a static and orthopedic problem leading to severe back pain. A breast that has lost its shape and volume due to pregnancy, breastfeeding and ageing and that has become saggy however is mainly reshaped because of aesthetic reasons. Techniques for breast reduction vary a lot, but they all have in common an incision around the areola. In most cases the incision extends downward to the crease beneath the breast and sometimes, when a big amount of tissue and skin has to be removed, the incision follows this crease. The nipple is moved upward. In a breast uplift, breast tissue is not removed, but loose and excess of skin. The reduction of breast volume and weight however requires the excision of breast tissue as well. Tightening of the skin is necessary to shape the breast.