This question comes up all the time.
“If you want fullness, you have to have an implant”, many patients have heard.
I would disagree. A well performed breast lift. One that does not rely on the skin to hold the breast shape. Can have excellent upper breast fullness without an implant. In fact, the fullness achievable with a patients own breast tissue is ideal. It is soft and natural!
My approach is common sense. If a patient is happy with their breast size with an unpadded bra, a lift is unnecessary. If they would like to be larger, breast implants are the answer.