once you find a doctor you are comfortable with "on paper", go in for your consult. i assumed i needed a lift, along with implants. i had a natural DD before children, and had about a B in saggy skin after 3 kids. my DR assured me that i didn't need a lift, only the implant - and he was right. i know they can do implants through the armpit, as another lady mentioned, but i truly have never heard of a lift without the scar you are describing. the key is to rest rest rest after surgery so as not to stretch your scar, and the minute it is healed up(has a scab), apply mederma a couple of times daily religiously for a couple of months.