Will Implants Be Enough to Lift and Fill out my Breasts?

Implants increase cup size, they do not treat sagging. This is a common misconception that many people have. Yes they can fill out and temporarily perk up a sagging breast, but the implant falls to the lower pole of the breast. You therefore have aggravation of sagging as time passes, and a larger, saggier version of yourself. You need a lift, and there is the trade off of scarring. There is no other way, or we would be doing it that way. Just because you are African American does not mean you will have bad scars. Everyone heals differently, and I have performed this operation on individuals of all ethnicities with excellent scar quality. 

Although no conclusive recommendation can be made based on pictures alone, from what I see I would strongly recommend that you consider a breast lift.  It does add scars to your breasts but in my opinion a lollipop scar is better than a ball in a sock look you would get if you get an augmentation alone.

It is difficult to say whether you would require a breast lift as well without a physical examination, however it may help if ptosis is severe.  In some cases, breast augmentation alone can make the breast "perkier” without a breast lift.  Scarring can be reduced by following your surgeon's post-surgery care instructions and keeping the scars out of the sun. Sun exposure can cause permanent darkening. You can also consider topical scar treatments once the steristrips have fallen off. Talk to your surgeon about silicone gel and silicone sheeting. Best of luck!