Would fat transfer help fill out the tissue so I do not need to have another lift to remove the skin? (Photos)

First, you do not appear to have much if any fat that can be donated. Second, fat goes inside breast tissue itself and you may not have much in that area to accept fat. I would suggest the lift. You could try minimally invasive radiofrequency first to see if you skin will tighten enough that you are satisfied.

Dear Gimyekis,
Autologous fat transfer breast augmentation would certainly be an option for your breast concerns. However, it does not appear that you have fat anywhere to harvest for transfer. A breast lift revision would not likely restore upper pole volume loss. Good luck!