Breast Lift Type for Little Upper Breast Volume?

Star,
If you are not filling a B cup bra, then you are a B cup. Also, you can expect to lose some breast size/volume with any lift procedure that is used due to tightening of the skin. So, I would suggest a combination augmentation mastopexy with use of a small implant. This would provide you with good upper pole fill. Good luck!

Thank you for the question.

Achieving long-term superior pole volume/fullness is difficult with any of the available breast lifting operations especially if the patient has a paucity of breast tissue to begin with. Usually, for a long-term results sub pectoral (dual plane) breast implants are indicated.

In-person examination will be necessary to provide you with  precise advice.

Best wishes.

From your description of your breasts, you would probably get a very nice result from a mastopexy with a lollipop incision. This could be a Hall-Findlay technique, pectoral loop or mesh support technique. All of these technique attempt to do the same thing; preferentially place breast tissue in the upper pole of the breast and then avoid the effects of gravity. To some extent, they all add some volume to the upper pole of the breast, but none of them can come close to providing the long-term upper pole fullness that breast implants can give.
Ultimately, if you're comfortable with the idea of having implants, long-term upper pole fullness will be best achieved with them. If you don't want implants, a mastopexy alone will likely give you a very nice result, with a better overall shape to your breast, but without the same amount of upper pole fullness.
Hope this helps. Best of luck.