Will my areola get bigger when I get a breast augmentation? Do I need a lift as well? (Photo)

Yes, your areolar will get larger with breast implants. A good analogy is to draw a circle on a balloon and then blow it up. As the balloon gets larger so will the circle. It's the same with your areolar.However, judging from your photos, you do need a mastopexy (uplift) for the most attractive appearance as your nipples presently point downward, and they are below your inframammory crease. The good news is that your areolar will get smaller with a mastopexy. My suggestion is to mention your concerns to your PS so he or she has a full understanding  of your goals. I also suggest that you have your PS place "sizers" on your chest under a bra and T-shirt, and look at yourself in a full length mirror. This is the best way to determine your desired implant size.I think you will get very nicely shaped breasts with an augmentation and mastopexy. Thank you for your question and photos, and best of luck to you.

I am going to suggest something a little different in the previous answers. Analyzing your photos, shows that your nipples are located at or above the fold of your breast. You do have a somewhat constricted base, with a wide intramammary (cleavage) distance. In your case,  I feel that you would have a very nice result with appropriately sized, position, and projected implants. This would give a nice modest lift and improve the fullness of your cleavage. In the future, after children you could consider having an areolar reduction if they're to stretched out for your liking after breast feeding. A full mastopexy, or breast lift, at your age may make breast feeding impossible and should be a consideration in your planning. Pre surgical 3D imaging can show you what you might look like with implants alone and no lift. Hope that helps. 

A good way to think of breast augmentation in lay terms is to view them through a magnifying glass. They will appear larger. The breast will be larger and everything will be magnified. The exact degree to which this will occur is difficult to predict with any certainty. However, the larger the implant the more noticeable these changes can be. Patients will often notice things like a more distended areola, more prominent vasculature (veins). Patients may also perceive a greater separation between the areola (although this is more of an optical illusion than anything else).One point to consider, sub-muscular augmentation typically produces less areolar distortion than the relative sub-glandular implant due to the compressive effect of the pectoralis muscle.Based upon your photos, you might benefit from lift/mastopexy as well. A coincident lift can help mitigate the distending effect of the implant by decreasing its dimensions on stretch.As always, discuss your concerns with a board certified plastic surgeon.