The short answer to your question is yes, you can certainly have a lift following breast augmentation. The question I would have is what is the condition of your current implants, what kind of implants are they, and when were they placed? If your current implants are in great shape without problems of hardening or position, then all you would need is a lift over those implants. If, however they are older implants you may want to consider replacing them. If they are silicone gel implants and they are old, I would certainly recommend an evaluation with MRI to make sure the implants are indeed in good shape- that is the gold standard for checking silicone implants for leaking and if your implants are leaking, you would be better off with a revision/replacement of those implant at the same time as your lift- knocking off two birds with one stone as they say.The best thing for you to do is review your history and current situation with a Board Certified plastic surgeon so you can make the best decision for an outstanding outcome.Best wishes, Dr. L