This is a fairly common question we get at our practice from women seeking to enhance the appearance of their breasts. Generally speaking, most individuals who need a breast reduction also need a breast lift (mastopexy), but not everyone who needs a breast lift needs a reduction. This is largely due to the fact that when excess volume is removed from the breasts during a breast reduction, there tends to be a lot of extra, sagging skin left behind that needs to be addressed (which is done with mastopexy). In contrast, some patients wish to elevate drooping breasts while retaining their breast size. For these select individuals, a breast reduction may not be necessary in addition to their lift.
More often than not, however, a combination of breast reduction and mastopexy is needed to achieve an optimal outcome. When performed in conjunction, these two procedures help to lift the breasts while improving both their size and symmetry. If you are interested in breast enhancement surgery and would like to find out which technique would be best for you, I strongly encourage that you seek a board certified plastic surgeon who is highly skilled in both methods. By discussing your unique needs and desires in detail with your surgeon, he or she should be able to easily and clearly determine the right procedure (or combination of procedures) for your goals.