Pregnancy, weight changes, aging and genetics can cause the breast tissue to lose elasticity and sag. The areola can dilate and become disproportionately large. A breast lift (mastopexy) is a procedure that tightens the skin and lifts the nipple and areola to produce a more youthful contour. If enlargement of the areola is a concern, the areola can be reduced in size during the breast lift operation. Dr. Ram performs a variety of breast lift procedures and will tailor your operation to best suit your specific needs. A breast lift may be performed with or without implants. The choice to use or not use implants with a breast lift is dependent upon your individual characteristics and desires. During your consultation with Dr.Ram he will discuss with you all of your options, so that you can make the best decision possible.