Hi,
Thank you for your question.
Yes, a crescent breast lift can be performed without implants. However, it is not that common because it is usually only used for women who have minor ptosis and is most effective on women with smaller breasts. This type of a lift does remove a little bit of skin and breast tissue, but is very minor so it should not effect your size too drastically.
This really can be a great procedure when performed with a periareolar breast augmentation, but as you said, you do not want implants so I do not really think this would be the best route for you. You do have several options. It is important to consider all of them and weigh the pro's and con's.
I do wonder why you don't like implants. There are several ways that an implant can be combined with a lift to give you exactly what you want as well. Without examining you, it is hard to say what exactly would be best. Have this discussion with your board certified plastic surgeon and he/she can give you more personalized advice.
Best regards,
Dr. Speron



