You're forced to buy super support bras, water bras and underwire - you wear a support bra even to bed, just to tame their unruliness. You start thinking that maybe you should have some kind of cosmetic surgery to put them in their place permanently, but you're not sure what you need.

Should you get implants with breast augmentation surgery or just a breast lift? Looking in the mirror, you're thinking you might need both. So, what is the difference between the two procedures and how do you know what you need?

Breast augmentation is used to increase the size or fill empty space left by breast tissue loss. It involves placing implants in the body to increase the size of the breasts. A breast lift raises sagging breasts and puts them back in their normal position.

If you've lost a lot of tissue, say from weight loss or pregnancy, your bust size actually shrinks. You may be smaller than you ever have been. Your breasts will also have a tendency to sag, because they have been stretched out and then shrunk.

If you haven't lost any tissue or fat, but notice they are no longer high and perky, it means gravity is taking over. Again this is fixable. A breast lift is just that - it pulls everything up to where it is supposed to be.

An implant, either saline or silicone, fills the space left by the fat loss, and also perks the area up a bit. Your surgeon can place the implant so that it has a natural seat on the chest. Your surgeon will make an incision around the nipple and under the breast, remove excess tissue and pull the skin taut and back into the normal position.

Often, both procedures are used to correct severe sagging and fat loss, and it is not unusual for both procedures to be performed at the same time. This is especially true if you have had extreme weight loss or multiple pregnancies.

In these cases, fat tissue will be lost and everything has been stretched a great deal. This leaves behind severe sagging as well as shrinkage. Your surgeon will lift the area and then insert the implants, to give you the desired look and size you want.

The best thing to do is to seek out a board certified and licensed plastic surgeon with a lot of experience in breast enhancement procedures. During your consultation, he will evaluate your body and determine exactly what you need, to get the look you want.

Have him show you before and after pictures of a breast augmentation, a breast lift and then both. This will also help you determine what you need and what to expect. For whatever reason, your body has changed, but you don't have to just accept it. Take action now and get your breasts back in shape.