I am not sure what you are trying to accomplish with SculpSure of the breasts - I would not recommend that as an option for either tightening loose skin or decreasing breast size. From your question, it sounds like you are comfortable with the size of your breasts, but not with the shape, due to the loose skin. This often causes sagging, or "ptosis," the medical term for this. For breast ptosis, the surgical treatment is a breast lift or "mastopexy." There are various different techniques of mastopexy, depending upon the degree of ptosis, but all involve incisions and scars and are fairly expensive. A good, minimally-invasive surgical technique is ThermiTight. This procedure requires local anesthetic (numbing) to the skin of the breast and uses radio-frequency (RF) energy to heat the skin from the inside. It is very safe and comfortable and can be done with no other anesthetic or oral sedation for those who are more anxious. It would not be an appropriate option for someone with moderate to severe ptosis, as it will not make a big enough difference, but for mild to moderate cases, it is a good option, which will leave no scars.