Will Breasts Stay Perky with a Lift Without Implants?

Breast lifts come in a variety of types- some simply remove skin to reposition the nipple, and some fundamentally alter the architecture of your breast and redistribute breast volume, raise the infra-mammary fold, raise the nipple etc. Seek out a board certified plastic surgeon to examine you and plan a breast lift. The results won't last forever, but in general, the more extensive breast lifts that re-arrange breast tissue have the best longevity.

The simple answer to your question is that all versions of breast lifting can be successful at maintaining the nipple elevation but not the roundness and fullness in the upper breasts. Despite a lot of effort in trying to solve the problem, no method has been proven to last. On the other hand, you may not want implants because they will increase the size of the breasts. There is some experimental work being done with a biologic "internal bra" but it isn't available yet.