Hi Eika, a breast lift (mastopexy)is a procedure that lifts and reshapes sagging or drooping breasts. Its aim is to change the shape and contour of the breasts, not to alter their size. Breast augmentation on the other hand is a procedure that is done to enlarge the breasts. Depending upon the characteristics and preferences of the patient, these two types of breast surgery can be performed alone or combined into a single procedure. Breast lifts are recommended for those with pendulous breasts that are neither too large nor too small, those whose breasts are sagging or drooping, and those with nipples that are positioned low and point downward. Frequently these conditions are inherited, but they also can result from multiple pregnancies, breastfeeding, and aging. Asymmetrical breasts (where one breast differs significantly from the other in position, size, and/or firmness) can also be addressed with a breast lift, provided the discrepancy in breast size is not too great. If there is a significant difference in size, the best results will be obtained by combining the breast lift with an augmentation or reduction procedure.