Breasts may sag due to excessive weight loss, child birth or aging. It is possible to lift the breasts without changing their size. This procedure requires skin excision, so there will be scars. Scar patterns may differ from one that is only around the nipple-areola complex to a vertical line. This is related to the amount of drooping.

Breast enlargement and sagging may also occur in men and it is called as gynecomastia. There are two types of gynecomastia: The one that occurs during puberty is usually associated with mammary gland hypertrophy which can be palpated under the nipple lke a button. The other type occurs in most of the men after the age of 40ties. There is usually only fat tissue but no gland in those cases. Presence of glandular tissue is be detected by an ultrasonographic examination performed before the surgery. If there is glandular tissue, it has to be excised with a scalpel through a cut made just under the nippleareola complex. Then a lazer liposuction is done to remove the remaining fat and tighten the skin envelope. If there is no glandular tissue, then only lazer liposuction is sufficient to obtain a good result.