Will I need a breast lift? Or could I just do implants? (photos)

100% need a breast lift. Good luck. You may benefit from a lift first and augmentation 4 months later dur to your grade of ptosis and asymmetry. Good Luck!

Based on your posted photos- it appears that you would benefit from a breast lift- to make your breasts perky and balance out the asymmetry ( with smaller implants -since you desire more volume).
In your current condition- you are not a candidate for a breast Augmentation alone.
If you want to wait until you have kids- then you should wait. I suggest that you seek an experienced Board Certified PS and discuss your options and details during your consultation

Thanks for the question. To get your desired results and symmetry, you would ideally need augmentation with implants and uplift procedure. the uplift procedure will improve areola asymmetry and bring them at same level. You can consider fat transfer as an option for breast augmentation using silicone implants. Breast feeding can be affected with these procedures and you should thunk carefully before defusing on these procedures.