Borderline lift - can I get away with implants only, no lift? (Photos)

Patient concerns regarding the appearance of their breasts can typically be divided in two pools: volume, ptosis (droop). The procedures to address these issues are as different as the issues themselves. However, these concerns are not mutually exclusive. Many patients, whether they are aware or not, will benefit from both.
There are two factors which can help to answer the question of which surgery will deliver the most satisfying result: mastopexy, augmentation or both. Patients must first consider the position of the NAC (nipple areolar complex i.e. the pigmented portion of the breast) as it relates to the inframammary crease. If the nipples are at or below the level of the crease the patient may benefit from a lift or mastopexy. The breast lift is designed to elevate sagging breasts to a more youthful position. It also helps to reshape and tighten the skin of the breasts. This is typically accomplished via a periareolar (around the nipple) incision with or without a vertical incision.
Mastopexy is an effective way to address sagging breast, however, the changes which accompany weight loss or pregnancy can also decrease volume of the breasts. When a woman wants the volume restored, or increased, a breast augmentation will also be needed in conjunction with mastopexy. Augmentation can help restore the volume loss which is well known to women following children. There are a number of options available to women considering augmentation ranging from size and implant type to access incision.
A breast augmentation alone may also be appropriate if ptosis is mild. If the patient is comfortable with the natural appearance of the breasts but desires them to be larger, a breast augmentation alone is the right procedure. Augmenting significantly ptotic or sagging breasts tends to magnify the problem. In these cases, a mastopexy performed in conjunction with an augmentation is preferred.
Based on your photos alone, you appear to be a reasonable candidate for augmentation. Nipple position appears preserved thus a lift may be unnecessary (unless you are hoping to address asymmetry). The procedures can also be staged if you are averse to the additional scarring.
There is a procedure for every problem. To determine which technique is right for you, consult with a board certified plastic surgeon Patient should discuss their concerns with their physicians in order to make an educated decision.

I would agree with the opinion of your first surgeon. If you use implants that have enough volume and enough projection, I think doing an augmentation alone would give very natural-looking results. The position of the areolas might not be "perfect," but I think it's a good option to consider, since it would eliminate the need for any additional incisions. As long as the implant is large enough and has enough projection, you would be able to avoid a waterfall deformity and also avoid the incisions needed for a lift.

It seems from your photographs that you are not even a candidate for a lift. You are lucky enough to expect an excellent result without the extra surgery of a lift. Good luck with your surgery!

Based on your post photos since you were adverse to vertical implant lift scar, I would do same size implant as recommended with a donut mastopexy. Best of virtual consult with explanation expect fees to range from $6000-$10,000 depending on type of implant used regards again best of virtual concert with.