I am a 36DD. I need a breast lift with Implants. How do I get chest fullness without going too big?

Thank you for the question. You may wish to post photographs, frontal and side views with your arms by your side, for more precise thoughts.  Having said the above,  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 can safely be performed in a single stage;  sometimes, patients are off undergoing breast reduction surgery first followed by a second stage breast augmentation procedure.

  In other words, best to individualize every patient's treatment plan  based on her unique circumstances,  anatomy, and goals.   During this decision-making, safety consideration and avoidance of complications, should be paramount.

  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.  Avoid potentially confusing terminology such as "chest fullness" or "too big", which may be interpreted differently by different people.  In our practice, preop communication is best carried out with the help of goal photographs and computer imaging. Working together you will come up with a good plan to achieve your goals.  Best wishes. 

If you are a DD, you may not want to add more volume to have a larger breast and more risk of sag. You could consider a small breast reduction and an implant placed behind the muscle for better upper breast fullness.