Breast Lift Without Implants for C Cup Breasts?

Dear Nurse Girl,
It is always possible to do a lift without implants. As a matter of fact, with newer techniques of lifting, one can almost achieve similar upper pole fullness that you can get with adding a small implant.
Time may be an issue for you. Have you had children? What happened to your breasts post pregnancy? Will you breast ? These are things you must ask yourself and your surgeon must ask you. It may help to predict how your breast will look after another pregnancy if you do the lift first.

A breast lift (mastopexy) repositions the breast higher and takes a tuck out of the lax skin below the breast as in a dart in clothes making. The tradeoff is the scar around the areola and the vertical scar below the areola to the crease. A lift does not specifically fill in the upper section of the breast or give it projection or "perkiness". It does not tighten lax skin or restore actual tone to the tissues.
A breast implant gives the breast volume, fullness, fill in the upper section, and the look of youth or perkiness. The tradeoff is mostly the issues of the synthetic implant. Breast implants to not lift the breast in spite of the illusion of lift and a conventional wisdom that it does. It gives the illusion of increased tone to the skin or tissues but doesn't actually change it.
If you are a C cup volume then you generally don't need an implant as the minimum size increase with a properly sized and positioned implant is a full cup size and this would result in a D cup size that might not be what you're looking for. However, if the breast is not too droopy (ptotic) then an implant could be considered to fill out the volume of the breast and make it look better though not actually lift it. If the breast is too droopy then it must be lifted before it can be filled out with an implant. In my opinion and experience, particularly in a C cup size breast, this is best done separately with the need for an implant considered after a successful lift.
The degree of droop (ptosis) of the breast is determined by where the nipple sits in relation to the crease at the base of the breast (inframammary crease). In my opinion, the breakpoint for a lift instead of an implant is at a nipple two centimeters below the crease level. Above this level, a breast lift is usually not worth the scars and below this level, an implant is not possible without a lift first.
Proper technique today that does not depend on the skin for lifting the breast is quite long lasting but the effects of pregnancy are not predictable or controllable. Lifting the breast before another pregnancy is sort of like doing a tummy tuck before having another pregnancy. Breast augmentation with implants is a simpler procedure than a lift if it is possible, but it might also need to be revised after pregnancy effects. One may also not need a lift now but will benefit from one later on.