Wondering if I would need a lift if I get breast implants? (photos)

Dear sage2400,
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

Based on the photos alone it appears you would have the best outcome from and augmentation with a lift. This would raise the nipple position and provide more volume. With augmentation alone you may have sagging in the future and it appears one breast sits lower than the other already. I encourage you to meet with a few board certified plastic surgeons to discuss your options and learn more about the procedures.

A lot of patients are worried about the breast lift scars - fortunately they do tend to fade nicely and provide a much better overall breast aesthetic when performed properly.
Based on your photos I think you would likely get a better result with a lift. AND it would likely last longer.
If you skipped the lift they may look okay initially but you'd have a higher chance of "waterfall" deformity sooner - which is where the breast tissue hangs off the implant.
I would seek out a few consults from board certified plastic surgeons. I prefer to do the right surgery the first time - not the easiest or the one with the smallest scars -this mentality often leads to more revisions in the long run.