135lbs, 5ft. To fix asymmetry and improve fullness, can I pass with just implants or is a lift necessary? (Photo)

Thank you for your photos. Your arms are up in your photos and may have artificially elevated your breasts. You have asymmetry, with your right breast larger than your left. To supply the best advice, first dimensional measurements need to be done of your breast to determine the width of your breast and the distance from your nipple to the fold underneath your breast under full stretch. These measurements will help determine the size implant that will fit you the best. You would need an asymmetrical augmentation to balance your present asymmetry. As a rule, if your nipples are below the level of the fold underneath your breast, a lift is needed to give the optimal result. You should discuss this in detail with your plastic surgeon and weigh the benefits and downsides of a lift done concomitantly with a breast augmentation.

Thanks for your question.From your description and the photo, it appears you have signs of mild tuberous breast anatomy, which is more common than many people realize — especially in patients who’ve experienced weight fluctuations during adolescence.
This typically includes:
Lower pole underdevelopmentAsymmetry between the breastsWider areolas or conical shapeNow to your main question:
Can you fix asymmetry and fullness without a lift?Yes — in selected cases like yours, a lift may not be necessary. Instead, the combination of:Anatomically shaped implants (like Ergonomix or similar) to gently expand and round out the lower poleAnd targeted fat grafting to smooth asymmetry and soften contours…can give very natural, balanced results — without visible lift scars.The key is to reshape and support the lower pole from within, rather than lifting skin from the outside.