Implants with lift
You could certainly have implants placed and not have a lift, however the contour of your breasts may be less than ideal. On the other hand, with a lift (mastopexy), in exchange for better contour, you will have much more scar on your breast. A good option to consider is to have the implants placed first. If you are not happy with the contour of your breasts, you could always have the lift done later.