And No, It's Not Just 'Sagging' By Dr. Megan Dreveskracht — Board-Certified Plastic Surgeon, Seattle, WA Most women come into their breast lift consultation assuming the decision comes down to one thing: Are my breasts saggy enough to need a lift? But as a board-certified plastic surgeon in Seattle who performs breast lift (mastopexy) surgery on the weekly, I can tell you this: sagginess is only one piece of the picture. A breast lift is not always a simple “lift them higher”