Breast Lift vs Augmentation – Which One Do I Need?

In this guide, we break down the key differences between a breast lift and augmentation, who each is best suited for, and when a combination approach might be the ideal solution.

If you’re researching “breast lift vs augmentation – which one do I need?” then you’re likely considering a change to your breast shape or size – but feeling a little unsure about which surgical route is right for you. Don’t worry, you’re not alone.

At Dr Hussain Plastic Surgery, we regularly speak to patients who know something about breast surgery but aren’t entirely clear on the difference between a breast lift (mastopexy) and breast augmentation with implants – or whether they may benefit from a combination of the two.

In this blog, we’ll break down the differences between a breast lift and breast augmentation, what they’re designed to do, who they’re best suited to, and how to decide which procedure is the right choice for your personal goals. See our full guide to cosmetic breast procedures here. 

What You’ll Find in This Blog

What Is a Breast Lift?

A breast lift (mastopexy) is a surgical procedure designed to reshape and elevate the breasts without changing their overall volume. This treatment is ideal if your breasts have started to sag or feel less firm due to ageing, pregnancy, weight fluctuations, or simply gravity over time.

During the procedure, excess skin is removed, and the breast tissue is lifted and reshaped to restore a more youthful contour. The nipple and areola may also be repositioned higher on the breast to achieve a natural, balanced appearance.

What a breast lift can do:

  • Raise sagging or drooping breasts
  • Improve breast shape and firmness
  • Reposition downward-pointing nipples
  • Reduce the size of stretched areolas (if desired)

What it can’t do:
A breast lift alone won’t increase the size or fullness of the breasts. If you’re hoping for a fuller or rounder look (particularly in the upper pole), a lift may need to be combined with implants.

What Is Breast Augmentation?

Breast augmentation involves inserting implants (typically silicone) to enhance the size, shape, and volume of the breasts. It’s often chosen by women who feel their breasts are too small, uneven, or have lost volume after pregnancy or weight loss.

This procedure is ideal if your main concern is increasing breast size or restoring lost fullness, rather than correcting sagging.

What breast augmentation can do:

  • Increase breast size and volume
  • Create a rounder, fuller shape
  • Balance uneven breasts
  • Restore volume lost after breastfeeding or weight loss

What it can’t do:
Implants alone won’t significantly lift sagging breasts. In fact, placing implants in drooping breast tissue may worsen the appearance of sagging. In such cases, a lift may be needed alongside augmentation.

So, Do I Need a Breast Lift or Augmentation?

The answer depends entirely on your individual anatomy, concerns, and desired results.

Ask yourself:

  • Are you happy with the size of your breasts, but unhappy with how they sit or sag? → You may benefit from a breast lift.
  • Do you want larger, fuller breasts but have minimal sagging? → Breast augmentation could be the right choice.
  • Do you want to increase size and correct sagging? → A combined breast lift and augmentation may deliver the best outcome.

A consultation with a qualified plastic surgeon like our expert team is the best way to determine which option is right for your goals. Our surgeons will assess your breast tissue, skin elasticity, nipple position, and overall proportions to recommend a treatment plan tailored to you.

Can You Have Both Procedures at Once?

Yes – and many women do. Combining a breast lift with implants allows you to address both volume and sagging in a single surgery. This is often the preferred option for women who’ve experienced changes after pregnancy or significant weight loss.

During the procedure, our experienced surgeons will remove excess skin and lift the breasts while simultaneously placing implants to enhance size and shape. The result? Perkier, fuller breasts with a youthful contour.

Why Choose Dr. Hussain Plastic Surgery

Choosing to undergo breast surgery is a deeply personal decision, and you deserve to feel informed, empowered, and supported every step of the way. At Dr Hussain Plastic Surgery, you’ll be in the hands of a highly skilled and compassionate team that brings years of specialist experience in breast procedures.

Our approach is tailored, professional, and always centred around you. From your first consultation to post-surgical aftercare, our dedicated team works closely with you to understand your goals, answer your questions, and deliver natural-looking results in a safe, welcoming environment.

You deserve to feel confident in your body. Let’s take that first step together.

Book your consultation today with Dr Hussain Plastic Surgery and discover the best option for you.

Dr Amer Hussain & Dr Fouzia Choukairi-Hussain at their new Plastic Surgery Clinic In Manchester

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