A breast lift (mastopexy) is considered the most effective solution. A breast lift addresses excess skin, reshapes the tissue, and repositions the nipples to a more youthful position. There are different lift techniques, with varying degrees of scarring, ranging from minimal (crescent and donut lifts) to more extensive (anchor or inverted T lifts). In some cases, breast implants may be added for volume and to enhance the overall lift. For women who have experienced changes in breast shape after pregnancy or aging, a breast lift can be life-changing. However, surgery is not the only option in all cases. Some individuals may achieve satisfactory results with implants alone or fat transfer, especially if skin excess is minimal. Regardless, it's important to consult with an experienced plastic surgeon to determine the most appropriate procedure based on specific goals and the degree of sagging. Surgery remains the most effective for significant lifting and reshaping. Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York