Thank you for the question and pictures. Yes, I think you will benefit from breast lifting as well as breast augmentation surgery. Your picture demonstrate breast skin and tissue that sit relatively low on your chest wall. Without breast lifting, I think that one of 2 types of “results” would be predictable: 1. You will end up with “big and low” breasts and unhappy with the aesthetic outcome etc.2. You will end up with the breast implants sitting high on her chest wall with the breast tissue lower down, again creating an aesthetically unpleasant outcome. You will also find that you will likely continue to have breast skin sitting on top of upper abdominal wall skin, unless the breasts are lifted. You may benefit from in person consultation with board-certified plastic surgeons; ask to see examples of similar patients. Only after educating yourself about the pros/cons ( as well as potential risks/complications) associated with breast lifting surgery will you be able to make a well informed decision. You may also find the attached link helpful as you learn more about breast lifting surgery. Best wishes.