Hi Orchidgirl, Thanks for including the photos, it makes the discussion with more specific to you. Based on the photos, your breast volume has descended, with a substantial portion of the breast tissue being below the inframammary fold (where the breast meets the chest wall). Breast lift does 3 things. First, it moves excess skin. Second, it vertically lift the nipple. Third, and most importantly for your questions, it we centralize the breast tissue, taking it from the low position below the fold to a more central location. One technique uses an auto augmentation technique, which would re-purposed that lower breast tissue as a small living implant, sewing to the chest wall in a higher position. I believe that a breast lift alone would substantially improve your breast aesthetic. Full disclosure, a breast lift is not going to provide a substantial amount of upper pole fullness, this would only be possible with an implant. Depending on your goals, however, a breast lift alone could be sufficient. I would suggest that you meet with a board certified plastic surgeon to discuss. Hope this helps. Best,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington