Sagging skin, or ptosis, shouldn’t deter you from undergoing breast augmentation surgery. If the sagging is severe, the procedure may need to be combined with a breast lift to achieve a more favourable result. This procedure is called a breast lift with implants surgery. If any excess skin is not removed, the implants will only cause the breasts to sag even further. Dr can advise you whether a lift will also be necessary once your breasts and goals have been evaluated.