Interested in a breast lift and possible reduction, would I be able to achieve upper pole fullness without implants? (photos)

Unfortunately, breast lift will not increase upper fullness without implants.

Higher, slightly smaller breasts will appear full while wearing a bra, but remain similar upper poles as they are now without a bra.

Another option may be fat transfer with lift.

An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.

Hi Eclectic570526,
A lift does a few things: moves the nipple vertically up, makes the skin envelope smaller, and re-purposes the breast tissue that currently sits below the fold more centrally.
I expect that a lift will create central fullness for you, but please be very clear with your plastic surgeon about your goals....if it's truly upper pole fullness that you're looking for, a lift without an implant will not reliably achieve that goal.
Hope this helps!
Best,Christopher Pannucci MD MSBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington