Do I have enough breast tissue between my nipple and crease to achieve natural looking breasts with lower pole fullness?

Even patients with almost no breast tissue are candidates for breast augmentation.In order to maintain a "natural looking breast with lower pole fullness" ("normal breast for european standards" patients should consider undergoing breast augmentation with wither a low or moderate profile  or anatomically shaped breast implants. These kind of patients should refrain from undergoing breast augmentation with a high profile breast implant because this will give significant upper pole fullness in addition to lower pole fullness, thus delivering an "normal" looking breast for "american standards" (eg. Pamela Anderson or Nicki Minaj-like breasts are considered "normal looking breast" in America)

Hello and thank you for your question. Based on your
photograph, you are a great candidate for a breast augmentation.  You have some nipple placement asymmetry in this photograph, which will still be present after your surgery.  However, I still think you will have a nice result. The most important aspect is to find
a surgeon you are comfortable with. With good surgical technique, you could
have an outstanding result. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

From the photos you posted, I believe you could achieve your desired results with breast augmentation alone. If necessary implants of different sizes could be used to address the asymmetry. For before and after photos of women similar to you, click on the link below. For more information on this and similar topics, I recommend a plastic surgery Q&A book like "The Scoop On Breasts: A Plastic Surgeon Busts the Myths."