Lift + implants or implants alone? (Photo)

While I cannot fully access your skin laxity through photos, a thorough consultation including evaluation, measurements and a discussion of desired goals will dictate what is the correct procedure for someone. An augmentation will address most of the laxity. it is possible that a small lift or a circum-areolar (incision just around the areola) lift may help achieve the desired look.

Hello! You would benefit from a lift to get the nipple into a better position and then an implant to help fill out the breast.

Thanks for your question and photos. The answer might depend on the implant size you choose and how much stretch is present in your skin/areola. An implant might fill out your skin laxity adequately and "lift" the nipple to a certain degree. If you're bothered by the areolar size - a small lift around the nipple could reduce the areola size and tighten up any residual skin laxity.
The left side is a little more ptotic and has more overhand. If this asymmetry bothers you the lift could correct that asymmetry as well.
Get a few consultations with board certified plastic surgeons to make sure you're choosing the right implant for your goals. Going bigger than you want to avoid a lift is not a good long term solution.