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To understand why the breast sags over time is to understand the breast. The breast is not made up of muscle like most of the rest of the body. The breast is made mostly of fatty, glandular, and connective tissue. The glandular tissue is what holds the lobules also known as the milk glands that lead to the milk ducts. The breast also has ligaments to help hold it's shape called Cooper's ligaments. One the outside of the breast are the nipples and the aerolas, which are the darker parts of the nipple. Most breasts will lose their “perk” over time. Generally the larger the breast, the earlier the sag can start. Even though breasts are made of ligaments and the ligaments will stretch over time to cause sagging, a woman's inherited characteristics such as skin elasticity and breast density can also affect breast sag. Basically, a breast that is heavier will sag more than a lighter breast of the same size. The breasts are fully devolved early in puberty but they are constantly changing over time. Factors such as pregnancy, breastfeeding, age, medical conditions, and even gravity all play a part in what the breast's size and shape over time. What Causes Sagging Breasts? Sagging breasts is most often related to older women, but it starts early and continues through a woman's lif e. After menopause, however, is when the breast really begins to sag but can start earlier. This process is called breast involution. Breast involution happens because the milk ducts are no longer needed. This can happen during menopause, after pregnancy if a woman chooses not to breastfeed, or after breastfeeding. The tissues in the breast deteriorate, thus causing sag and a flattened look. There are preventative measures that can be taken earlier in life such as wearing a supportive bra and exercising that can prevent or reduce sagging at an older age. Another possible reason for breast sagging is a lack of the hormone estrogen. Estrogen is the hormone that aids in breast production during puberty. At menopause, estrogen production decreases. When this happens, there is reduction of tissue all throughout the body, including the breast. The breast's connective tissue is made mostly of a fibrous material called collagen. Collagen needs estrogen to keep it healthy. Without estrogen, the connective tissue becomes dehydrated and loses elasticity. Breast involution at work. Breasts will also sag due to breast feeding. During pregnancy, estrogen and progesterone are secreted by the ovaries and placenta. This process stimulates the development of fifteen to twenty milk-producing glands that are found in the breasts 6