Dr. Mok will always advise patients if he feels their breast goals cannot be achieved with breast augmentation alone. As a very general rule, if your breasts are flat and loose, and have lost volume to the point where the nipple hangs below the breast crease, then a lift may be suggested. In some cases, a breast lift may be all that is needed to achieve your desired look. Skin quality and current breast position play a large role in determining if a breast lift is needed.