This is an extremely common question and a good one. The answer really depends on where your nipple-areolar complex (NAC) lies relative to where your breast meets the chest wall when viewed from the side (lateral view).
If your nipple is positioned at or above the crease, when viewed from both the front and side, then you probably do not need any type of lift.
If it is just at the crease, then you may need a lift in order to achieve your desired result.
If the nipple is at the bottom of your breast and it points to the floor, you’ll likely want a breast lift for a more balanced shape.
The question of whether or not get an augmentation is really a question of, “do you want more volume, i.e. larger breasts?” For the most part, a beast augmentation makes the breasts larger, but does not really change the position of the NAC on the breast. The lift alters the position of the NAC, but does not change the volume – though it is true that a lift can sometimes make the breast look larger since it is less droopy.
Of course, many women want and need both an augmentation and a lift to get their desired look, and these can be done at the same time. It is important to note that it is always a more predictable outcome for the final shape if a woman only requires a straightforward augmentation, than when we perform a combination of an augmentation and a lift. This is especially true for one of the more complicated lifts, such as a vertical mastopexy.
Have additional questions? Please do not hesitate to schedule a complimentary, private consultation with me to discuss your individual needs.