When talking with women about breast lifts and the size of the breasts, the most important question is: are you happy with the size of your breasts now? Sometimes this is a little difficult to figure out if you have a lot of sagging, so the other way to look at this is: are you happy with the size of your breasts when you are in a bra? If this is the case, you do not need breast implants.
When performing the breast lift, very little volume needs to be removed with the skin removal. And the amount removed (probably 5% or less in terms of volume) will not have a big difference in the overall size of your breasts. And, the breast tissue itself can be moved in such way as to consolidate the breast tissue centrally and give better fullness in the upper part of the breast.
So, if you are having a breast lift and you are happy with the size of your breasts, you don't need an implant. If you breasts are smaller than you would like, then an implant at the time of the lift is a good option. If you are not sure, and are generally happy with the size of your breasts, then just have the lift. You can always have an implant placed later if you feel that you need it.
