Please advise judging by picture:/
It's hard to tell with such limited data, but I suspect you will want an augmentation/mastopexy. I think the anchor closure is the most predictable. Good Luck!
The need for a lift is based on the position of your nipples, and it is difficult to tell from your photo exactly where your nipples are. If you only put inimplants, they will cause your breasts to sag due to gravity. A breast lift helpsyou gain the perkiness your desire, and the implant placed under the muscle will help youregain fullness in the upper part of your breast. I advise that you see a board certified plasticsurgeon with experience in performing these two procedures at the same time. Good luck with your decision.