Breast Augmentation vs Breast Lift: Which Do You Need?

Updated November 2025 9 min read

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Two of the most commonly confused breast procedures are breast augmentation and breast lift. While both enhance the appearance of the breasts, they address fundamentally different concerns. Breast augmentation adds volume, while a breast lift repositions and reshapes. Many women benefit from both, but understanding the difference helps you make the right choice for your specific needs.

Augmentation vs Lift at a Glance

Breast Augmentation

Purpose: Increases breast size and fullness

Method: Silicone or saline implants, or fat transfer

Cost: $4,000 - $10,000

Best for: Small breasts, volume loss, asymmetry

Addresses sagging: Minimal

Breast Lift (Mastopexy)

Purpose: Raises and reshapes sagging breasts

Method: Removes excess skin, repositions nipple

Cost: $5,000 - $10,000

Best for: Sagging, downward-pointing nipples, stretched areolae

Adds volume: No

Augmentation + Lift Combined

Purpose: Adds volume AND lifts simultaneously

Method: Implants plus tissue reshaping and skin removal

Cost: $8,000 - $15,000

Best for: Post-pregnancy, significant volume loss with sagging

Most comprehensive: Yes

The Pencil Test: Do You Need a Lift?

A simple way to assess whether you need a lift is the pencil test. Place a pencil under your breast fold. If the pencil stays in place, there is some degree of ptosis (sagging) that a lift can address. If the nipple points downward or sits below the breast fold, a lift is likely recommended. If you simply want more volume and your nipples sit above the fold, augmentation alone may suffice.

When to Combine Both Procedures

Many women, especially after pregnancy and breastfeeding, experience both volume loss and sagging. In these cases, combining augmentation with a lift produces the most complete result. The implant restores fullness while the lift repositions the breast tissue and nipple for a more youthful shape.

Preview Your Breast Procedure Results

Our AI simulator lets you preview how breast augmentation, a breast lift, or both combined would look on your body. Upload your photo to compare options and make a more confident decision.

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