Will implants alone be enough for upper-pole fullness and perkiness? Or is a lift required? (photos)

I suggest going back to your surgeon and trying on the sizes so you can see what you do like. That range should look good on you.

Based on these photos, I think that high profile implants in that range (or slightly bigger 340-380) would create nice improvement in the upper pole. I would suggest augmentation with different size implants, to correct mild asymmetry and delay breast lift. Sub-glandular vs. sub-muscular implant placement may not create much difference in your case. Good luck.

Dear Tough702736,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery