Should I consider a breast lift or will implants alone be sufficient for me?

Thank you for posting your question here!I will start by stating hat my answer is based on the limited information and pictures provided, for a more in depth answer and a bespoke plan I would recommend consulting in person with your plastic surgeon.
An implant and a lift address different issues , Implants help add volume while a lift repositions the nipple and removes excess tissue/skin that is causing a droop. They can also be combined to achieve a synergistic effect in individuals with a both issues.
That being said it is hard to assess the position of your nipples and droopiness based on the pictures provided alone, but if your nipples are in an ideal spot then all you need is an implant if increased volume is what you are seeking. You can always have a lift later if you are not satisfied with your final outcome. That being said don't get pressured into getting massive implants to compensate for any skin laxity, choose something that works with your frame and goals and if a lift is needed a massive implant is not a substitute for it , it will cause issues down the line.
I hope this helps!, best of Luck!

Implants alone will fail. I recommend a breast lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.