Breast lift without implants? Is this realistic? (Photo)

 The fact that you feel like you have enough tissue when you're wearing a bra means you have adequate tissue to do a breast lift. This procedure will make your breasts slightly smaller given the removal of excess skin, but your breasts will have a perkier appearance.  Make sure that you see a board certified plastic surgeon to discuss your options.

Hello and thank you for your question. Based on your photograph, you are a
great candidate for a breast lift.  This can be designed to result in an
improved shape and contour of your breasts while minimizing scar
appearance.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and evaluate their results.  The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon