What can I do about restoring the fullness to the top part of my breast without adding implants? (Photos)

Your breasts are too low on the chest wall and your nipples are pointing downward.  Unfortunately, you have not told us your bra size.  However, you would benefit from a breast lift and reduction using The Bellesoma Method.  This will reduce and reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief without excessive reduction.  Vertical scars are avoided, nipple sensation and the ability to breast feed are maintained.Best Wishes,Gary Horndeski, M.D.

Based on your pictures, I would recommend that you have a breast lift with or without a slight breast reduction.  If you are an H cup now, you certainly don't need any more volume (which is what an implant would give you).  No implants.  With almost all breast lift procedures, the nipple is left in place so that you should be able to breast feed afterwards if that is a consideration.  Of course, a pregnancy would possibly change your results.  There is a risk of losing sensation to the nipple either temporarily or permanently with a breast lift.  Fat transfer might be an option after the breast lift if needed but I don't think you will need it.  Repositioning the breast tissue that you have now should give you the upper pole fullness that you want.

I recommend a reduction/lift.  I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Dear kramos88,
if you want to avoid breast implants, fat transfer might be an option. My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. 
If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Your photos are not helpful and do not show your whole breasts. I would suggest going for a consultation and discuss options like a fat transfer. Fat will not correct sagging, and fat volume is limited.

Hello, and thank you for your question. (Keep in mind that an in-person consultation is necessary for the best advice.) The goal of any breast lift surgery is to create a perkier, more youthful, but still natural look. Nipples are placed at the center of the breast mound (which is where they should be). Changes in sensation may occur, but they are not common. The ability to breast feed has more to do with the technique performed and whether or not you had the ability to breastfeed before surgery. (In other words, 70% of un-operated women are able to breast feed, and 70% of operated women are able to breast feed.) Which technique is most appropriate for you depends on your physical exam. If you decide to pursue surgery it’s very important that you find a surgeon whom you are comfortable with and trust and who evaluates you in-person and tailors an individualized treatment plan for you and your aesthetic goals. Best of luck!
Matthew A. DelMauro, M.D.

You would add fullness and more volume to the top part of your breast without adding implants by having fat transfer to your breast instead.  You may also want a Breast Lift and/or Breast reduction with this procedure but it is not mandatory and can be determined at your consultation based off several factors most importantly the look you are trying to achieve as well as what will give you the best results..
For more info call my 24-Hour Hotline open 7 days a week # (678) 205-8400 & press 1 Good Luck to you!

Dear Kramos88,
Hello and thank you for your excellent question. You should be evaluated for a No-Vertical-Scar breast lift. There are a number of no-vertical scar breast lift techniques, but my preferred technique is the Bellesoma Breast Lift technique. In my professional opinion, this technique represents a “quantum leap” in breast lift techniques. Good luck!

Best,

Jon Ver Halen, MD FACS