It's not unusual for women to want breasts that have a firm consistency. This consistency is related to the ratio of breast tissue to breast skin. When the skin envelope is tight, the breasts tend to be firm and in some cases, hard. When the skin envelope is loose, the breasts tend to be soft and in some cases saggy.Breast firmness can be modified in two ways. These include increasing breast volume or tightening the breast skin envelope. This requires a breast lift, breast augmentation or both.Without pictures or a physical examination, it's impossible to know which option is best for you. It's, therefore, important to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to determine which option is most likely to make your breasts more firm.