Can you get a breast reduction and a breast lift without implants? I am a G/H cup. (Photo)

Thank you for the question and pictures. Based on your description, you may be a good candidate for breast reduction surgery. Breast implants are not necessary. “Official” recommendations of course would necessitate in-person consultation.
Breast reduction surgery is one of the most patient pleasing operations we perform. By removing “excess” breast tissue, adipose tissue, and breast skin  this operation reduces AND lifts the breasts to a higher position on the chest wall (in other words, the breasts are "automatically" lifted when a breast reduction is performed). By doing so, patients often find improvement in neck, back, and shoulder discomfort and find it easier to form their activities of daily living and exercise.
Timing of the operation will depend on the patient's life circumstances. Sometimes breast  reduction surgery is covered through health insurance. The best way to obtain insurance coverage for breast reduction surgery involves some “hoops” to jump through. The more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.) the better when it comes to obtaining insurance “authorization” for the procedure.
 This documentation and letter/pictures from your plastic surgeon will help you obtain authorization.
When the time is right,  seek consultation with well-trained/experienced board-certified plastic surgeons. Ask to see lots of examples of their work and communicate your goals clearly.

I hope this, and the attached link, helps.

You are a great candidate for a breast
reduction. No need for implants as you will have a nice, proportionate perky
breast with natural shape. Gook luck in your search for a board certified
plastic surgeon; you will not be disappointed with the results!

A breast reduction will also give you a breast lift.  You will be very pleased with the results.