Patients who consult for a fallen chest are sometimes confused with the goal of the result. Many recognize not knowing if they only want to raise it or also increase it (fill it out). This may be the most difficult decision, and it will depend on whether the patient has enough volume to reshape it and make it attractive. If the patient is comfortable with the position and the breast volume achieved by the bra, her mastopexy probably does not need an implant. If, on the other hand, the breast volume is scarce, an implant should be used to achieve the objective of lifting and filling the breast adequately.