Do you consider I have glandular ptosis? Pseudoptosis, grade I? Should I need a lift combined with breast augmentation? (Photo)

Hello! I am a 35 yo woman considering a breast augmentation with low profile, still deciding between 275/315cc implants low profile. Ive seen 2 deferent doctors and one of them says 100% sure I need a lift, the other says I'll be fine with 250cc. I want something very natural. My back/shoulders are small, I usually use a xs size, my bra size is 34. I have been researching and do you think I would need a regular lift? an periareolar mastopexy? or just an implant 300cc?