Hoping to achieve a natural look with minimal scarring - would a lift be necessary in my case? (photo)

Dear Lilithlvne,
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

The submitted photo is not enough to make a definite recommendation. Typically if the nipple is at or below the level of the breast fold a lift is recommended. It is understandable to not wish to have unnecessary scars, but nor do you want to undergo a procedure and be unhappy with the result. Be sure the consultations you have are with experienced board certified plastic surgeons.