Breasts are a womans biggest asset. They contribute to their confidence and overall appearance. Hence cosmetic or reconstructive surgery for the breasts is common practice. Mastopexy is the enhancement of the breasts which reshapes and firms breasts which are sagging. A breast lift also includes inserting implants depending on an individuals needs. While on technicalities, the surgery takes upto 1-3 hours. You could very much be awake during the entire procedure depending on the type of anesthesia, local or general.