Should I get a breast lift first then get breast implants? (photo)

Hello and thank you for your question and sharing your photos. You benefit from a single-stage mastopexy-augmentation (lift combined with implants), which can be performed safely and with good outcomes in experience hands. I would seek consultation with a board-certified plastic surgeon for a full evaluation and advice. Make sure your plastic surgeon has experience performing this kind of surgery. Best,Pejman
Aflaki, M.D.
Johns
Hopkins-trained double board-certified plastic surgeon

You need a formal evaluation by a licensed plastic surgeon and expert in breast lifts, revisions and augmentations to determine what is best for you and your goals.
Breast lift surgery can improve a woman's breast shape by repositioning the breast mound at a higher position on the chest and then centering the nipple and areola on the breast itself. If there is enough breast tissue, I can perform a highly aesthetic mastopexy without the addition of further volume by internally rearranging the breast tissue and removing excess skin. If more volume is needed, especially in the upper portion of the breasts, we will discuss the possibility of fat grafting or silicone gel implant placement. The type of incision required for this surgery (circumareolar, “lollipop” or “anchor”) and the lifespan of the lift depends on each patient’s condition, breast tissue, genetics, weight and hormonal fluctuations, and desired results.
Augmentation with mastopexy is a challenging surgery that requires significant experience to create a shape that is youthful, natural, and proportionate to the body, while managing the native tissue as well as fat grafts or implants. When performed properly, it can result in a dramatic improvement to a woman’s breast appearance.
I suggest consulting with a board-certified plastic surgeon and expert in Breast Lifts. - Dr. Cohen

Different doctors have different opinions on whether to combine a lift and implants in one procedure or separate them into two.  Personally, I like to do them in one operation.  It is less expensive for the patient and there is only one recovery period rather than two.  I have not seen that combining the two into one procedure has been detrimental in any way in my practice.  You might consider seeking a second or third opinion from another board-certified plastic surgeon.