Would I need to get a breast lift as well as areola reduction and fat transfer? (Photo)

Thank you for your question.
I agree that fat transfer to the breasts is much more natural way of increasing the size of the breast than silicone breast implants. However, achieving a desired size might sometimes require several stages (repeating the procedure a few times) depending on what breast size you are aiming to achieve. The reason is the fact that there is only certain amount of fat we can transfer safely into the breast tissue at one time in order to allow fat grafts to grow into the breast tissue. For example, transferring too much fat to the breast tissue will simply be absorbed or result in formation of oil cyst or fat necrosis (lumps of scar tissue). In addition, even if we put the right amount of fat in the breast tissue half of it is expected to survive.Regarding whether or not you need an uplift, this is really up to you. If you are not sure whether or not you wish to have your arealae reduced and nipples lifted you can always decide once you achieved your desired breast size. Your plastic surgeon will be able to discuss this in a greater detail.Hope this helps.