Thank you for the question. Based on your description of breast size and goals only, it sounds like that you may benefit from breast reduction/augmentation surgery. During this operation, some breast tissue is removed and breast implants are utilized for volume/fullness. Sometimes, the operation is best done in stages.I would suggest that you be very careful with your decision-making: undergoing breast augmentation surgery only, when breast lifting is also indicated, can be a "recipe" for an unsatisfactory cosmetic outcome, disappointment, and potentially require additional surgery to "correct". Also, I do not think that it is a good idea for patients to undergo breast augmentation surgery, with larger breast implants than they would otherwise select, in order to avoid the need for breast lifting. Ultimately, which operation you should undergo will depend mainly on your physical examination and personal goals. If I were seeing you in consultation, I would ask that you communicate these goals in terms of goal photographs and/or computer imaging. This type of careful communication, preferably in front of a full-length mirror, is key. Avoid the use of cup sizes as a reference point; this can be a source of confusion and miscommunication. My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully, as discussed above. Working together you will come up with a good plan to achieve your goals. Best wishes.