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The Truth About Breast Lift vs. Augmentation: Which Do You Really Need?

Woman getting her breast measured

If you’ve been researching breast enhancement options, you’ve likely come across two of the most commonly performed procedures: breast augmentation and breast lift surgery (mastopexy). While they both fall under the umbrella of cosmetic breast surgery, these two procedures serve very different purposes, and understanding those differences is key to choosing the right path for your goals.

Many women come in thinking they want implants, only to find out a lift is actually what they need, or vice versa. So, how do you know what’s right for you? Below, we break down the essentials of each procedure and help you determine which may be best suited for your unique anatomy and aesthetic vision.

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Table of Contents

Breast Augmentation Adds Volume but Not a Lift

Breast augmentation is a surgical procedure that enhances the size and shape of the breasts using implants (either silicone or saline). It’s an excellent option for women who:

However, what breast augmentation doesn’t do is lift sagging breasts. If your nipples sit at or below the natural crease of your breasts or point downward, implants alone won’t reposition them. In fact, placing implants into sagging tissue can actually exaggerate the droop, leading to unnatural-looking results. That’s where a lift comes in.

A Breast Lift Repositions but Doesn’t Add Volume

A mastopexy, also known as a breast lift, is a surgical procedure that removes excess skin, reshapes the breast tissue and raises the nipple and areola to a more youthful position. It’s ideal for women who:

What a breast lift won’t do is increase breast volume. In fact, it does result in some decrease in breast volume which can even be up to one cup size. A lift can make the breasts appear perkier and more rounded but it won’t create fullness in the upper pole (the top half of the breast) the way an implant can.

Sometimes, the Best Results Come From Combining Both

If you’re dealing with both volume loss and sagging, a breast augmentation with lift (mastopexy-augmentation) may be your best option. This combination procedure adds fullness while also improving breast shape and position. It’s especially popular among moms and women who’ve undergone significant weight loss as it addresses multiple concerns in one surgery and recovery period.

During your consultation, your surgeon will assess factors like:

From there, they can determine whether you need a lift, implants or both to achieve your goals.

So, Which Do You Really Need?

There’s no one-size-fits-all answer; your ideal treatment plan depends on your body and your goals. Here’s a quick cheat sheet:

Interested in Learning More About Breast Surgery?

At the Arizona Center for Breast Surgery our focus is on surgical procedures that can help women feel happier, more secure and attractive regarding cosmetic breast-related issues. Call us at 480-451-3000 to schedule your personalized, thorough consultation with Dr. Turkeltaub if you are strongly considering improving the appearance of your breasts.