Breast Lift with or Without Implants if I Don't Want to Be Any Bigger Cup Size?

At your size, it sounds like you should be able to achieve fullness without implants but it's very hard to say without photos.  Some women choose a small implant to make sure they achieve the upper pole roundness that you are describing because typically, it's difficult to achieve that look without implants.   If you are concerned, you should have another discussion with your Board Certified Plastic Surgeon but keep in mind, you can always add implants later if your results are not what you were hoping for but that would be an additional cost.

   A breast lift can improve the look of your breasts and create the superior pole fullness you want.  An implant is not necessary.  Find the plastic surgeon with ELITE credentials who performs hundreds of breast lifts each year.  Kenneth Hughes, MD Los Angeles, CA

Generally, at your size, you do not need implants but photos would be useful. The lift technique is important in a patient who is already a DD. In terms of shape, upper pole volume is dependent on your starting point.