Lift with or without implants: will a lift only give me upper pole fullness?

Breast lifts alone do not typically give much or any upper pole fullness. Upper pole fullness is best achieved through implants or fat grafting to the upper pole of the breast, both of which can be done at the time of your lift.

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

For relatively large breasts like yours and relatively loose skin, breast lift alone is not likely to provide long lasting solution, in particular in the upper pole. For that reason, placement of the implants will preserve fulness of the upper pole. If you want to stay within current bra cup size, small reduction (especially of lateral breast tail) can be done. Hope this helps. Good luck.