Can you fix sagging breasts with just implants? I’m naturally only a 36B

Implants alone do not adequately lift the breast when there is significant sagging, no matter the size or the type, and will not produce a good cosmetic result in a patient who also needs some variation of a lift. 

Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest your plastic surgeon be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person and be very realistic about your potential cosmetic result. 

Robert Singer, MD FACS

La Jolla, California

In general terms, breast implants do not do any significant lifting of the nipple areolar complex, although sometimes filling up breast that have become deflated over time can go a long way towards correcting perceived sagging.  I have definitely seen cases where I thought the patient would need a lift but after placing the implants there was enough correction to allow not doing the lift, or to allow a shorter scar technique (periareolar) and therefore minimize post-op scarring.  Best to ask your surgeon for before and after photos that most closely resemble your current look and goals.  Best of luck to you.