Mastoplexy with grade 1 ptosis or just implants? (photos)

Hello and thank you for your question. Based on your
photograph, you are a great candidate for a breast lift with an implant.  This can be planned to give you a natural appearing result.   Make sure you
specifically look at before and after pictures of real patients who have
had this surgery performed by your surgeon and evaluate their results.  The
most important aspect is to find a surgeon you are comfortable with. I
recommend that you seek consultation with a qualified board-certified plastic
surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

From your photos I recommend you have smallish implants placed for some increased fullness and a circum-areolar mastopexy. This will give you the look and shape that you want.