Will I Be Happy with a Breast Lift Alone and No Implant?

You already mentioned you are happy with your present size, therefore, no volume needs to be added.  A lift will reposition your nipple and areolar to the correct position and reshape the breast into a prettier and more natural shape.  Fullness in the upper pole may be there immediately after surgery, but as the breasts relax that is usually not sustained.  An implant may give you some upper pole fullness but this added volume will mean your breasts will be larger and heavier and more weight will be on the new incision lines as they are healing which can adversly affect healing or final scar appearance.  In addition, not placing an implant decreases your cost (shorter operative time, no charge for the implants), and gives you piece of mind going forward that you won't need future surgery to correct any problems which could arise with the implants.  Many techniques are used for a breast lift.  The anchor incision is the "Gold Standard" for breast lifting, and is applicable to a wide range of breast shapes and sizes, is safe and time tested.  Done meticulously the incisions should be thin and well camoflouged.  Other techniques should be used especially for smaller breasts.  I hope this helps!

It all depends on your anatomy and you goals, but if you have enough breast tissue to work with, you can usually achieve a very natural result with god shape to the breast without using an implant. An implant will certainly add more upper pole fullness, but there is a cost associated with this, including the potential need for more surgery in the future, so it really depends on your individual anatomy and what look you're attempting to have. In cases like this, a nice compromise is to do the lift first, let things heal and see how you like it. Most of the time patients are quite happy, but on occasion, if a patient wants still more upper pole fullness, than an implant can easily be placed as a second procedure.

Hi there--
With an implant, the upper area of the breast will be full and variably round. Without an implant, and even with a very well done breast lift, the upper pole will be a bit more sloping (as a natural breast is).
I agree with my colleague below that if you think you would be happy without an implant, that that is definitely the way to go. However, I also think that if you think you would be unhappy without upper pole fullness, you would be better served to place an implant. Keep in mind that you can always come back later to place an implant if the initial breast lift doesn't make you happy, but of course this would require a second procedure.
Good luck- I hope you're as happy as you want to be!