Do I need a BL if I just want a BA? (Photo)

Dear Izzy009,
determining whether you need simply a breast augmentation versus a breast lift can be somewhat complicated. It depends on a number of factors including skin laxity and current nipple position. Generally speaking, if the nipples are lower than the inframammary line the patient will most likely need a breast lift. If the nipples are at or above the inframammary line we can generally get by with just a breast augmentation depending on the size of the implant the patient wants. I often still using implant when I perform a breast lift because it provides more upper breast fullness after the lift. To be sure a consultation with a board-certified plastic surgeon will help determine what the patient actually needs.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

From the provided photos it doesn't appear a lift is necessarily needed. However you do have asymmetry. it is important to note that with implants alone the asymmetry will still be present after surgery. I encourage you to visit with a few board certified plastic surgeons near you to hear varying opinions.