Do I need a lift? Size recommendations?

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed.
Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author                        
RealSelf Distinguished Hall of Fame Inductee

Thank you for your question.If you want to achieve fullness with a natural look, I would recommend a lift with a small implant. The lift will help tighten the skin, the implant will give you the fullness in the upper pole of the breast. A lift alone is not going to add fullness to the upper portion of the breast.