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

An areolar reduction would compliment the fat transfer breast augmentation and could be safely done as a combination procedure.  In addition this would tighten the overlying skin envelope giving the breast a perkier look.

Kayla.  It appears from your photographs that you have modest asymmetry, the left breast droops more than the right. Your best option should be left breast lift with bilateral implant placement. If your areola size bothers you, then reduction can also be performed at the same time. Be certain to consult with a board-certified plastic surgeon in your region. Good luck.

The areolae can definitely be reduced with periareolar scars.  This gives a little bit of lift as well.  Fat grafting to the breast is an implant-free procedure that is less invasive and offers more natural results than traditional breast implants, and with less downtime required. Areolar reduction and fat grafting can be performed at the same time.  Select a board certified plastic surgeon with ELITE credentials (American Board of Plastic Surgery certified, education, experience, training) who performs hundreds of breast procedures each year with favorable patient reviews.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA