Unfortunately, you have not provided any photographs or told us your breast size. However, there are 2 techniques I use, which routinely tightens the breasts making them firmer. For small breasted women less than a size C, I recommend a technique called The Mini Ultimate Breast LiftTM. Using only a circumareola incision it is possible to reshape your breast tissue creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. Excess skin is removed, the skin envelope is tightened and the breast is firmer from internal support. For women who are larger, I recommend a technique called The Ultimate Breast LiftTM. This technique uses a circumareola and inframammary incision to excise excess skin, reshape the breast creating upper pole fullness, elevate them higher on the chest wall and more medial to increase your cleavage. The excess skin is used to make an internal cone, which is supported by the underlying muscle and the breast is firmer. Both techniques avoid the ugly vertical scars of the lollipop or boat anchor shaped incisions, maintains nipple sensation and the ability to breast feed.Best Wishes,Gary Horndeski, M.D.