Currently a B cup with asymmetry, would I be a good candidate for a suction reduction w/ implants? (photos)

Dear br5693,
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

Just based on your photos, you need a lift to ensure that you will get adequate breast shape with implants. Implants alone will only further stretch out the breast; you will just need the mastopexy in the near future and it may make that surgery more challenging for your surgeon. I would highly recommend seeing multiple plastic surgeons and make a very informed decision.