The operation is performed under general anesthesia and for a period ranging from three to four hours during which the plastic surgeon makes surgical incisions to get rid of unwanted skin sagging, and tightening is done on the longitudinal and transverse levels with a process of lifting and adjusting the position of the nipple to its normal position and golden ratios, to then join the wound with the cosmetic suture and be Here, the wound was formed by the surgical lift in the form of the Latin letter T upside down extended as a longitudinal cheek under the nipple towards the bottom and a transverse line under the chest completely