An electric breast massage pump cannot create a true or lasting breast lift. It may cause temporary swelling or fullness, but it will not tighten stretched skin, reposition the nipple, or lift breast tissue in a reliable way. Strong suction or repeated use can also cause bruising, skin irritation, broken capillaries, pain, or swelling. The image appears to show an online product advertisement rather than clinical breast photos, so the degree of sagging cannot be judged from it. At age 23, breast shape can be affected by genetics, weight changes, pregnancy, breast size, and skin elasticity. A supportive bra, stable weight, and general fitness may help comfort and posture, but they do not correct true breast ptosis. If the nipple and breast tissue sit low enough to bother you, the dependable treatment is usually a breast lift. If volume loss is also part of the concern, a surgeon may discuss a lift with an implant or fat grafting, depending on your anatomy and goals. An in-person exam with a board-certified plastic surgeon is the best way to decide whether you need surgery or whether nonsurgical support is enough.