You have a nice shape with a youthful amount of breast tissue in the upper half of your breast. Many breast reduction techniques lift and reduce while preserving breast tissue in the upper pole. You should get a lovely result without an implant.
Yes, you will look wonderful with a reduction procedure without the need for implants because you have plenty of breast tissue. In general, a breast reduction procedure reduces AND lifts your breasts. The reduction part of the procedure removes portions of your breast tissue that contribute to the heaviness of your breasts and the lift portion of the procedure moves your nipple/areola to a higher position and tightens the skin of your breast. This skin tightening moves and supports the remaining deeper breast tissue, pushing it higher making the top of your breasts fuller. After this surgery you should have a smaller, perkier, lighter pair of breasts. Breast reduction patients are one of my happiest group of patients for all those reasons. Good luck!Dr. Taylor