This lady has had a breast lift or mastopexy. There has been some reduction of the lower part of the breast at the same time and the footplate of the breast has been lifted higher onto the chest wall. Over time there will always be a tendency for the breast tissue to drop and patients need to weigh up the pros and cons of having autologous fat transfer or breast implants at the same time. Choosing a mastopexy only is a good option for women that are happy with the volume of their breasts are wish to be a little smaller.