Is it possible to achieve upper breast fullness without dramatically increasing breast size?

Yes, it is possible to improve the upper breast fullness with a small implant with a re-lifting of the breast if needed.  The breast can be reshaped but it is difficult to change the location.  The position of the nipple and areola can be changed but it is difficult to change the "footprint" of the breast.  I recommend a plastic surgery consultation to discuss options to improve the appearance of your breasts.

Yes, I recommend a new technique called The Mini
Ultimate Breast LiftTM. Using
only a circumareola incision it is possible to reshape your breast tissue
creating upper pole fullness, elevate them higher on the chest wall and more
medial to increase your cleavage. This
technique avoids the ugly vertical scars of the traditional technique,
maintains nipple sensation and the ability to breast feed without
implants.Best Wishes,Gary Horndeski, M.D.

Thank you for the question. This is a common finding and presentation in my office.  You have a few options:1.  Breast lift with tissue rearrangement to provide upper pole fullness of your inherent tissues.2.  Breast lift with small implant under the muscle to provide conservative fullness and cleavage.3.  Breast lift with autologous fat transfer to provide more cleavage and fullness.You would need to be seen in person and evaluated by a board certified plastic surgeon with expertise in these procedures.