Sagging breasts, medically known as breast ptosis, where the cause and degree of sagging, depends on many factors, mainly including smoking, body mass index, number of pregnancies, cup size before pregnancy and age. The severity of sagging can be classified by assessing the position of the nipple relative to the inframammary fold, i.e. the degree of attachment of the lower side of the breast to the chest wall: Grade I: mild sagging, where the nipple is at the level of the inframammary fold and above most of the breast tissue; Grade II: moderate sagging, where the nipple is below the inframamammary fold but above most of the Grade III: called high sagging, where the nipple is below the level of the inframammary fold and most of the breast projection; Grade IV: is severe sagging, where the nipple is well below the inframammary fold and points to the ground. Because the breasts contain no muscle tissue and provide only limited connective tissue, or ligaments, to support the breasts, many studies have concluded that neither exercise nor bras can change the degree of sagging. If a patient wants to pursue aesthetics, the only option is plastic surgery, using breast suspension, which can be combined with implants or autologous fat fillers to improve the shape of the breast.