This is a commonly asked question in our practice and it’s hard to answer because of the large number of variables that are present. It’s safe to say that because of the constant force of gravity, we can set the clock back but never stop it from ticking. Women who do not have breast lifts experience progressive sag and women who have had breast lifts can expect some recurrent sag as well.
Factors that are associated with the development of recurrent sag include thin skin, large breasts, fluctuations in weight, pregnancy, failure to use a bra for support, certain types of disease that involve the connective tissue, and cigarette smoking.
Surgical technique is important as well, but less important than the patient’s wound-healing and soft tissue characteristics. Most breast lift procedures utilize the skin to create an envelope, which supports the breast tissue. Recently, techniques have been developed that utilize internal sutures to provide additional support. If breast implants are used to add volume or create additional upper breast volume they should always be placed under the muscle and should not be of excessive size.
In my experience, breast lifts are associated with high satisfaction rates and in many cases last between 10-15 years. It’s important to realize that gravity goes to work immediately and as time marches on, recurrent sag is inevitable to some degree.