Will a breast lift achieve my desired results or should I consider other options? (photo)

Hi from Istanbul! You mention that you do not want implants but I wouldn't advise implants for you anyway as you already possess ample breast tissue to achieve a full, solid appearance for your breasts. An inverted T breast lift, or anchor mastopexy, can help realize your vision of plumper, higher-situated breasts without a bra. The upper pole could potentially be supplemented by fat grafting if needed for enhanced fullness. Of course, the most suitable approach would be determined after an in-person consultation.

Hi knitypixy,
The photo was very helpful. Your breasts have too much skin for their volume, resulting in a vertical descent of the breasts. Your nipples are low, and the areola are spread. A breast lift has the potential to counteract all of these, by removing excess skin, reducing the size of the areola, and moving the nipple to vertically higher position. With the amount of nipple movement, a small amount of breast tissue might need to be removed. However, in general, the lower pole excess breast skin and breast tissue can be re-purposed to provide central fill. A breast lift will not reliably provide long-term upper pole fill, which can only be done with an implant.
I hope this helps.
Sincerely,Christopher Pannucci, MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington