Breast Lift vs. Breast Augmentation
Posted February 16, 2026 in Breast Augmentation, Breast Lift

If you’ve noticed that your breasts have changed over time, perhaps appearing flatter, lower, or less defined than they once did, you may be considering breast enhancement. However, when deciding between a breast lift and breast augmentation, it can be hard to know which option will actually provide the best possible results for your body and concerns. Pregnancy, weight loss, aging, and genetics all affect your breast size and their position, so what gives one woman excellent results may not be the right choice for you. In this blog, we go over how each procedure works, along with its benefits and limitations, so that you can go into your consultation with confidence.
Table of Contents
- What Are the Differences Between Breast Augmentation and Breast Lift Surgeries?
- Pros and Cons of Breast Augmentation
- Pros and Cons of a Breast Lift
- How to Decide Which Procedure Is Right for You
- Can a Breast Lift and Breast Augmentation Be Combined?
What Are the Differences Between Breast Augmentation and Breast Lift Surgeries?
Although breast augmentation and breast lift surgery both improve the appearance of your breasts, they are designed to address different aesthetic issues.
Breast augmentation increases your breast size and enhances fullness, using saline or silicone implants to add volume, improve balance and proportion, and create a curvier body contour. It is commonly chosen by patients whose breasts are small or asymmetrical, or those who have lost volume after pregnancy, breastfeeding, weight fluctuations, or aging.
In some cases, you may want a more subtle boost in breast volume or prefer to avoid getting implants. In that case, you might choose to undergo fat transfer breast augmentation. This procedure offers a natural alternative to breast implants by using your own body fat to enhance your breast volume. Excess fat is harvested from “problem” areas such as your abdomen or thighs, purified, and injected into your breasts to create subtle, natural-looking fullness while also contouring the donor area.
A breast lift, also known as mastopexy, reshapes and elevates sagging breasts by removing excess skin and tightening the surrounding tissue. Rather than adding volume, a lift restores your breasts to a firmer, more youthful position on your chest. The result is breasts that may appear perkier and more defined, even though their overall size generally remains the same.
Pros and Cons of Breast Augmentation
Pros of Breast Augmentation
Breast augmentation offers the following advantages:
- Noticeable improvements in breast volume and shape
- Enhanced cleavage
- Improved breast symmetry
- More balanced body proportions
With proper care and monitoring, your breast augmentation results can be long lasting, making it a popular and reliable option for patients who want larger breasts or more cleavage.
Cons of Breast Augmentation
Some disadvantages to breast augmentation include:
- It does not correct significant sagging
- Future revision or implant replacement may be necessary
- As with any surgery, there are risks, such as capsular contracture or implant rupture
- Scars, while typically minimal and well-concealed, are still part of the procedure
Breast augmentation is best suited for patients whose primary concern is increased size rather than improved breast position.
Pros and Cons of a Breast Lift
Pros of a Breast Lift
A breast lift offers the following advantages:
- Dramatically improves breast position and firmness
- Raises sagging tissue
- Repositions downward-pointing nipples
- Tightens stretched skin for a smoother, more youthful contour
With a breast lift, many patients enjoy a more youthful body contour without adding implants, making it an ideal option for those who are satisfied with their breast size but not their shape or position.
Cons of a Breast Lift
Some disadvantages of a breast lift include:
- Because excess skin is removed, your breasts may appear slightly smaller after a lift
- Scarring is more noticeable than with augmentation, though it will fade over time
- A breast lift does not increase volume
- Results can gradually change due to aging, gravity, pregnancy, or weight fluctuations
A breast lift is an excellent choice for patients looking for rejuvenation rather than size enhancement.
How to Decide Which Procedure Is Right for You
Choosing between a breast lift and breast augmentation is a highly individualized choice and depends on variables such as your anatomy, lifestyle, and aesthetic goals.
Some questions to consider when making your decision include:
- Am I hoping for larger breasts or simply a more lifted appearance?
- Do my nipples sit below the breast crease or point downward?
- Have pregnancy or weight changes affected my breast volume?
- Is sagging or size my main concern?
A consultation with one of the plastic surgeons at Careaga Plastic Surgery is the best way to determine which option (or combination of the two) is right for you. During your consultation, your surgeon will assess your skin elasticity, breast tissue, and chest proportions. They will also listen to your concerns and long-term goals before recommending a treatment plan that delivers natural-looking, balanced results you desire.
Can a Breast Lift and Breast Augmentation Be Combined?
Yes! Many patients choose to combine a lift with an augmentation to achieve comprehensive breast enhancement. A breast lift with augmentation (whether with implants or fat transfer) can restore lost volume while also correcting sagging, creating a fuller, more youthful breast contour. Combining these procedures is especially popular among women whose breasts have changed significantly after pregnancy or major weight loss.
When performed together, a breast lift with augmentation can:
- Restore fullness and projection to your breasts
- Elevate sagging breasts
- Improve your breast shape and symmetry
- Create a more youthful, contoured silhouette
Combining a breast lift with augmentation may cost more up front and slightly increase your surgical time. However, by combining the procedures, you receive more comprehensive results in one surgery and with one recovery period, rather than two. Again, the best way to determine the approach that is right for you is to talk to one of the experienced surgeons at Careaga Plastic Surgery.
Explore Your Breast Enhancement Options in Miami
If you’re ready to discover what a breast lift, breast augmentation, or combination of both can do to boost your curves and your confidence, it’s time to schedule a consultation with Dr. Daniel Careaga or Dr. Rafa Ramos today. To make an appointment, call our office at (305) 960-7511 or complete our online contact form.