The effect of massive weight loss on breasts is significant. There is a loss of volume in the breast along with the severe sagging or ptosis of the breast. Plastic surgery procedure for breast includes broadly two basic underlying concepts,i.e, volume addition and breast lift to bring the nipple and areola and the breast mound at the appropriate position on the chest wall. In some cases, only a breast lift procedure may give the desired result. The pre-surgery consultation with your plastic surgeon is very crucial. Preoperative planning is equally important. The incision is placed around the nipple and is extended from the lower areolar margin in the midline to the crease below the breast and/or along the breast crease.