Breast lift surgery without implants is not intended to change the size of the breasts. It is typical though for patients to report wearing a slightly smaller bra size after surgery because they previously needed a larger cup to hold the excess skin or sagging tissue, while some patients find that their breasts appear larger because they have improved cleavage.1 The addition of fat grafting to the upper pole of the breast and cleavage (decolletage) will enhance the result without significantly changing the breast size. Fat grafting may also be of value to equalize the volume of the breast when significant asymmetry is present.