Do I need a Crescent Lift along with Implants or will Implants alone suffice? (photo)

   A breast augmentation can be performed initially with the understanding that a breast lift may be necessary later.Kenneth Hughes, MDLos Angeles, CA

A
crescent lift is inadequate and I recommend a new technique called Breast
Augmentation with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage. Through the same incision, implants can be
placed. Aligning the areola, breast
tissue and implant over the bony prominence of the chest wall maximizes
anterior projection with a minimal size implant. Small round textured silicone gel implants
placed retro-pectoral look and feel more natural, are more stable, less likely
to ripple or have complications needing revision. Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it. I would never lower a patient’s inframammary
crease. High perky breasts are
attractive, lowering the inframammary crease does just the opposite. Best Wishes,Gary Horndeski, M.D.

It appears as if your nipple to IMF distance is relatively short. This would indicated that you might be able to avoid a breast lift and still have a nice result. I would suggest augmentation alone, allow the implants to settle for 3 months, and then decide if you really need a breast lift. You probably will do fine without one. 

  Dear littlewing327, Thank you for your photos. I would agree with most of the other surgeons...I would perform a augmentation alone with a lowering of your infra-mammary crease and a bi-planar release. I'm confident this will give you the results you are seeking and you can avoid the extra incisions on your breast. Good luck. #Dr. Gervais

I agree no lift to start.  You have a short nipple to fold distance and  with a dual plane technique  with a small amount of fold lowering you should be fine. Lowering the fold does not correct true ptosis or droop but in your case it is should work well. Good Luck!