How do I increase upper pole fullness without a lift? (photo)

Thanks for your question! If you add an implant to breasts that are already large (and wide - this is the important part), then you are going to be larger. You are a little bit between a rock and a hard place. In the right hands, a breast lift can result in almost imperceptible scars. I would suggest a couple in person consultations. Good luck!

It seems you are a good candidate to consider increasing upper pole fullness. This would require either fat grafting or a small implant. I think a small implant is usually the better choice unless other factors are involved. You and your plastic surgeon have to decide the best size implant to achieve your desired appearance. Regarding the volume, you will absolutely have and increase in volume so you have to factor this into any decision.