Do I need an uplfit or just implants? (photos)

It is difficult to say without a consultation. Breast lift surgery, or mastopexy, is indicated for patients who have adequate volume but whose breasts have dropped due to aging, weight loss, pregnancy, or smoking. In your case, it appears you have lost volume and depending on the fullness you are looking for may benefit from either a breast lift with fat grafting to the breasts or a breast augmentation with implants accompanied by a lift.
A virtual or in person consultation with a breast specialist will provide you with accurate recommendation and pricing.
Respectfully,Brandon Richland, MD

I recommend an in person consultation with a plastic surgeon to discuss your goals and be measured. I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, if interested. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Mildly Sagging Breasts: If your breasts are mildly droopy, a saline or silicone gel implant placed behind the pectoral muscle might help create the illusion of perkiness. That’s because as the implant fills out the top of the breast, it also fills out the bottom, making it look as if the nipple has moved higher. It hasn’t. You can always get a lift later if you feel you are not perky enough when fully settled and healed. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA