How can I get the round perky look of breast implants without the actual implants? (photos)

Hi.  While I'm sorry to disappoint you, I think the honest answer is that it's very hard to get the round "implant" look without using actual breast implants.  The round look may be present for a short time post-op, while tissues are swollen and the skin is relatively tight - but it really doesn't seem to last, even with auto-augmentation or fat-grafting techniques, in my opinion.  I'd challenge any of the surgeons that claim they can do it consistently without implants to show some long-term (1 year out) results.

Thank you for the picture. I think you can receive a round look by just having a breast lift and small reduction. This also equalize the volumes of each breast. Seek in person consultation from plastic surgeons in your area.