You might think that breast implants would help take up the slack of the breast and correct sagging. The nipples would rise back up as the breast volume is restored. However, measurements show that the nipple level does not change significantly after breast augmentation. Although implants help fill out the upper poles, they are of limited benefit for the lower poles, where the extra breast tissue persists. Because of this limitation, breast implants alone will not overcome significant sagging. Of course, what constitutes "significant" sagging is the question. I explain to patients that the effect of the implants in providing lift will "never be as great as she would like it to be." Many women accept this and are not overly concerned about it. They may say: "Well, I'm not trying to look like I'm eighteen anyway. But, I would like to look good in clothing." Or, "I can wear a bra for that." For other patients, who do place importance on perky breasts, correction of sagging is a priority and we proceed to discuss the breast lift procedure.