Can I achieve proper breast shape with breast lift surgery without using implants? (photo)

Hi Versatile829979,
Meeting with a board certified plastic surgeon would be your best option, to discuss your goals and do a good examination of your breasts.
The photos show that much of your breast tissue sits below the fold where the breast meets the chest wall. This tissue can be re-purposed to a more central location during a lift (the "auto-augmentation" you mention), and the excess skin can be removed. This produces an improvement in central breast fullness, vertical nipple movement, and a tighter skin envelope.
Hope this helps.
Best,Christopher Pannucci MD MSBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.