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In my experience, fat transfer can be performed without lift for more upper fullness, depending on the presentation. You appear to be a good candidate.This is usually an easier option and recovery vs. implants and/or lift.An exam and consultation with a plastic surgeon who performs these procedures is recommended to confirm you are a candidate as well as discuss your options and expectations.
Thank you for posting some photos. It appears you have a slight sag of the breast, but you did not specify if this was a concern to you? If you just want more fullness, I would recommend the combination of liposuction with fat transfer under ultrasound. This could give you more fullness expect that fee to range from $5000-$8000. If you want just implants that would give you fullness too, depending on the type of implant, silicone versus sailing, that fee would be in the $5000 to $6000 ranges. In some cases, you could do a combination of implant with fat grafting, but that would need to be discussed in a virtual consultation. As far as a breast lift, unless you want to have a permanent scar from the Lyft, I would not recommend at that time since you did not specify you were concerned about the slight Ptosis of the breast or sag of the breast. Again, best of virtual consult with.
In your case you would benefit from a lift. Fat grafting to the breast, just like an implant, will add volume to your breasts but it doesn't lift the breast. The idea that an implant or fat will lift the breast is a very common misconception but the golden rule is: if you need a lift, you need a lift, regardless of whether you are using fat or an implant to augment the breast.