Is a Circumareolar Breast Lift Needed for Perky, Natural Looking Breasts?

A circumareolar "lift" involves removing skin from around the areola.  It produces no significant lift and there is usually tension on the scar, distorting the areola.  If you need a lift, the vertical lift is more effective.  You may wish to have implants alone right now.  Later, if you develop more sagging with time, you can have a vertical lift, which is the best type for results.  I've attached a link to my website, showing vertical lifts.

Based upon photos only (and without the advantages of a physical exam) I would say that you can expect a attractive and desirable result with breast implants only. Even though you do exhibit a small degree of constricted breast shape variant, the pressure from the implants is typically enough to expand and release this phenomenon and produce a beautiful outcome.