Breast lifts may be necessary to rejuvenate the sagging breast. The decision to lift a breast is made before plastic surgery and is determined by the position of the nipple in relation to the breast crease or inframammary fold. When the breast sagging and nipple position are only mildly low, then a breast lift around the areola may be an excellent choice. Often breast implants will be used to improve the fullness and firmness of the breast.