Breast Augmentation (no lift) for more upper pole fullness and projection - advice? (photos)

Although an in person examination is always best, from your photos it appears you would have the best results from a breast lift with implants. This would raise the position of the nipple as well as give you the volume increase you are wanting. If you create upper pole fullness with the nipple low you may end up with an overall shape that you won't like.

It seems that implant surgery alone will not result in a good shape. In your case constriction and ptosis are more severe than in the cases of others attached, so peri-areolar mastopexy seems to be necessary. A silicone implant will be used, but the size can be predicted to some extent through examination, and since mastopexy is used together, it is desirable to make the final implant decision during surgery because the shape and size should be simulated by using a sizer, a temporary implant during surgery.

Unfortunately I agree... do a lift. In fact I would consider doing your case in two stages: stage 1 breast lift then stage 2 breast augmentation. I would separate the two stages by 3-6 months. Best Wishes!!