Breast Lift for Upper Breast Roundness?

I have a very differrent opinion about your question.
You asked quite specifically if you can have an implant without increasing size. The answer to that is "no."
An implant augments your breasts, plain and simple. Any implant small enough to not noticeably augment your breasts will not be enough to add upper pole fill.
If you do not want to be larger, you should not have an implant.
As for whether a lift will give you substnatial upper pole fullness, I believe it depends upon the type of breast you have now. If you have young, firm, and glandular breasts, that simply are droopy because of the way they developed in puberty, then perhaps a lift can establish lasting upper pole fullness.
But if your breasts skin is at all sretched or inelastic, such as occurs after weight loss, age, or pregnancy, then your lower pole breast skin will slowly stretch with time, allowing the upper pole fullness established with the lift to dissipate.
I just attended a lecture by one of the world's authorities on breast lifting this past weekend, and she quite specifically pointed out that significat increases in upper pole fullness are rarely achieved with a breast lift.

Hi there-
It sounds like your goal is to have breasts which have a more youthful shape, with fulness in the upper pole, but that are not significantly larger than their current size...
This can be achieved in most women, but requires a very sophisticated approach, the success of which is highly dependent on the level of experience a surgeon has doing these complicated procedures.
I do think that you will be most happy with an implant, but probably also will need a reduction of your breast tissue- which is what makes the procedure more complicated...
It is very important for you to find a surgeon with a great deal of experience doing breast surgery- ask to see photos of other patients and maybe even to speak to a few.

Yes, implants are often used to augment upper pole fullness during breast lift surgery. Usually, a large implant is not necessary and make a nice difference. The other option is auto-augmentation, by using the tissue that is normally removed during a lift to augment the upper portion of the breast. Good luck with your surgery.

There are mastopexy techniques which manipulate your breast tissue to add volume to the upper pole of the breast but these techniques do not create long lasting upper pole fullness like an implant does.
A small implant at the time of the lift can give reliable fullness to the upper pole of the breast without altering the breast size dramatically. The breast will be larger as you are adding volume but it is distributed differently. If you do not currently fill your B cup breast, you may find you can wear the same cup size but you fill it out.
Be clear on your discussion with your surgeon as "roundness" implies a visible implant whereas "upper pole fullness" is still in the realm of natural.

Good luck with your decision.

Occasionally a breast lift will create upper breast fullness but this is not consistent and has a tendency to drop after surgery.
In order to achieve cosistent upper breast fullness, an implant is the most reliable method. If you do not want to change your cup size, this can sometimes be accomplished by a simultaneous reduction of the lower redundant portions of the breast while and the volume and upper breast fullness created by placment of a small implant

Auto augmentation
mastopexy is a surgery that repositions your own breast tissue into a more
pleasing and comfortable position.  Auto-augmentation mastopexy makes the breasts only as much bigger
as there is lower pole breast tissue available to move into the upper
pole.  The lower pole tissue that is moved up is fixed in place with
sutures to the pectoral fascia, so it is not possible for the relocated tissue
to ‘drop’.  

Breast implants add volume (and weight) to the breasts while
auto-augmentation really does not.  Additionally, implants augment the
entire breast, while auto-augmentation augments the upper pole only.  So
for many reasons auto-augmentation results tend to be less prone to recurrence
of droopiness.

Other advantages of auto-augmentation mastopexy:

               
#1 - Zero need for implant surveillance and possible replacement

               
Also:

Zero risk of capsular contracture

               
Zero risk of implant migration / malposition

               
Zero risk of visible fold/ripples

               
Zero risk of implant infection

Auto-augmentation mastopexy is absolutely the procedure of
choice for a patient who wants a breast lift, who will not have adequate upper
pole fullness without an implant or auto-augmentation, and who is happy with
the amount of breast issue that she is starting with.  If a patient wants
a lift AND fuller breasts (i.e. increase in true cup size), then an implant is
required.

An implant may be used to achieve more volume and roundness without augmenting or enhancing the overall size of the breasts. Still maintaining your "B" cup look and achieving perkiness with the mastopexy (breast lift) procedure. It is difficult to achieve fullness with a mastopexy alone. I recommend consulting with a board certified plastic surgeon to discuss all possible options for you. During your consultation, bring in pictures of what you like and what you would like to achieve to explain to your surgeon exactly what you want. Good luck and take care!

 

A breast lift may alter the shape and position of your breasts. However, it is difficult to create fullness in the upper portion of the breast and in the cleavage area with a breast lift alone. Be very specific with your board-certified plastic surgeon about your aesthetic goals. If re-creating this fullness is a priority for you, you may be well served by using an implant at the time of your breast lift. Discuss with your plastic surgeon the appropriate size of his implant as too large of an implant may place undue weight on your breast and stretch out your breast skin excessively.

If you do not want more fill then a breast lift would be the best answer for you provided that your breasts are sagging. If you want more fill and roundness, then an implant is the way to go.

The upper pole can be filled best with an implant. Auto-augmentation procedures can be done, but are difficult to do and may not be properly done in all surgeons hands. You should seek out someone who does that regularly. However, upper pole fullness is possible with a smaller implant along with a lift. That combination will likely increase your breast size by a small amount. You may still stay within the same cup size depending on how you fill out your bra currently. Good luck in your decision.