Can I get youthful, perky breast of 36D? I don't want any implants? (Photo)

Thank you for your inquiry and photos. Based on the photos submitted a mastopexy will definitey give you a perkier look of your breasts. A small reduction and liposuction can also be performed to further contour and shape your breasts. Although a mastopexy will give your breasts a lift and reduce the size of the aereola, if you are looking for fullness in the upper pole of the breasts you would need an implant to achieve that. An in person consultation with a board certified plastic surgeon would be necessary to evaluate your skin quality and discuss different options and techniques. Good luck. James Lee 

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. See the below link on some suggestions on finding the most qualified Plastic Surgeon for a BBL Always insist on a board certified plastic surgeon.