A breast lift, also known as mastopexy, is a surgical procedure designed to raise and reshape sagging breasts. While a breast lift can improve the appearance of the breasts by lifting them to a more youthful position, it typically does not significantly change their size. During a breast lift, excess skin is removed, and the remaining breast tissue is reshaped and lifted. However, the volume of the breasts usually remains relatively unchanged. If you're satisfied with the size of your breasts before the lift, you may not need additional implants to achieve your desired outcome. However, if you desire both a lift and an increase in breast volume, you may consider combining a breast lift with breast augmentation using implants. In this case, your plastic surgeon can discuss options for selecting implants that will complement the results of the lift and achieve your desired size and shape. It's essential to have a thorough consultation with a board-certified plastic surgeon who can assess your individual anatomy, discuss your goals, and recommend the most appropriate surgical plan for achieving your desired results. They can help you understand the potential outcomes of a breast lift with or without implants and address any concerns you may have about size, shape, and overall appearance.