Hi there--
With an implant, the upper area of the breast will be full and variably round. Without an implant, and even with a very well done breast lift, the upper pole will be a bit more sloping (as a natural breast is).
I agree with my colleague below that if you think you would be happy without an implant, that that is definitely the way to go. However, I also think that if you think you would be unhappy without upper pole fullness, you would be better served to place an implant. Keep in mind that you can always come back later to place an implant if the initial breast lift doesn't make you happy, but of course this would require a second procedure.
Good luck- I hope you're as happy as you want to be!





