A breast augmentation is a common procedure and involves increasing the size of the breasts and the amount of cleavage, focusing on more fullness in the middle and the tops of the breasts. A breast augmentation with lift does all of this, plus removes extra skin that may be present due to pregnancy or dramatic weight loss. If you're unsure whether you need just a breast augmentation or whether you could benefit from a lift as well, there are two simple tests you can do to find out. For the first, place a pencil under your breasts. If the pencil doesn't fall, you could likely benefit from a lift. To find out the other simple test, watch this short video.