Hi Neat729665, Breast lift is able to remove excess skin, raised the nipple vertically, and centralize the breast tissue which is low. In general, this produces more central fullness and a nice contour to the upper pole, but the upper pole generally has a straight line contour as opposed to a rounded contour. Around upper pole contour can really only be achieved with an implant. While some patients have that nice upper pole fullness in the immediate postoperative period, as everything stretches and settles, it tends to decrease. To be fair, lift alone can have an incredible aesthetic result, producing a naturally shaped breast with improved central fullness. Ultimately, you would need to decide if this meets your goals. Hope this helps. Best,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington