Results can be long lasting in the majority of women who undergo breast reduction surgery. Most patients do not need repeat or maintenance surgery, like patients who have breast implants. Young women will experience appearance changes of their breasts from normal aging, gravity, weight fluctuation, and pregnancy, regardless of whether or not they have had surgery. Breast size can fluctuate with weight, activity level, hormones, pregnancy, breast-feeding, and menstrual cycles. Even though all patients get the benefit of a powerful breast lift, we still have gravitational factors that affect our body on a daily basis. Sagging at some point in the future is always possible, but the degree is definitely minimized by breast reduction surgery, as the heaviness and weight pulling things down is reduced.