Wanting a breast enlargement. Do I also need a lift? (Photo)

Hi,
You have grade 1 breast ptosis. That is when your nipple and areola are around your breast fold. You do NOT need a full anchor scar lift. Depending on how big of an implant you would like you might need a vertical mastopexy to lift up your nipple and areola.
I would do a dual plane submuscular breast augmentation first. Sit you up during the surgery, and look at breast symmetry as well as nipple/areola position. If needed, only then I would do the lift through an incision around your nipple. It take a little longer to do this step wise approach, but great plastic surgeons all do it. Most skip this step.
Hope this helps.

Great question, and likely you do not need a lift, especially if you want to go on the larger side with your augmentation. Implant placement in a dual plane or subfascial position would also help improve the shape without needing a lift.

Thanks for your question! Some of that answer depends on your goals, but if you are looking for the best result, I do think you should consider a lift. It will get you better cleavage, get the nipple and areola above the fold and give you the most youthful appearance. Good luck!