Breast augmentation increases the size and volume of the breasts using silicone or saline breast implants. A breast lift, on the other hand, removes excess skin that might be caused by the breasts increasing and decreasing in size, such as with pregnancy or breastfeeding, and the natural sagging that can occur naturally with age. During the breast augmentation and lift procedure, the implants are placed, and any excess skin is removed. Many women will also have their areola and nipple area repositioned to a more youthful height on the chest.