A breast lift, or mastopexy, is performed to return youthful shape and lift to breasts that have sagged as a result of weight loss, pregnancy, loss of the skin’s natural elasticity or simply the effects of aging and gravity. The procedure can also reduce areolar size (the dark skin surrounding the nipple). Dr. Pazmiño may recommend combining a breast lift with breast reduction for added firmness. At Miami Aesthetic, breast lifts are usually performed under general anesthesia and last from one to three hours.