In principle, we can distinguish the women with a qualitatively firm, flexible connective tissue which can likely enjoy of relatively firm breast even until to the high age, and the woman with weak connective tissue, which frequently suffer of the drooping bosom already in recent years without additional influence by ageing or pregnancy. However, not every woman with a weak connective tissue is suffering from the sagging breasts (breast ptosis), because, between the two described rare extremes, there is so-called "normal case", when the natural drooping of the female bosom is caused by specific reasons or developments. The important factor is the progressive natural aging of the skin after 30-ies. The skin aging is associated with the loss of elasticity of the connective tissue on one hand and the simultaneous natural shrink of the glands and fatty tissue on the other hand. Pregnancies and associated frequent breastfeeding can contribute to an additional loss of shape. While the breast becomes larger during the pregnancy, due to the hormonal effects, and thus appears also firmer, after the pregnancy the glands shrinks again, with the consequence that the stretched skin coats now the too small breast volume. The skin does no longer firmly support the breast. As a consequence, the breast loses its shape and droops. Also the size and/or the volume of the breasts. represent an important factor for the possible loss of shape. The weight of the large breasts leads faster to the stretching of the skin and concomitantly also to the drooping breast.