What procedure will give me my desired breast result?

 To achieve results that are cosmetically acceptable, long-lasting, and satisfying, you will definitely need a lift with implants. The lift does produce scarring around the nipples and the breast skin, however, this usually heals very well and becomes thin and light with time. Never compromise the best cosmetic result because you are worried about scarring or trying to cut costs. Hope this helps with your decision. 

From your photos - it appears that you would benefit from a lift with smaller implants. In my opinion- only a lift (with or without implants)will make your breasts perky and help you achieve the result you're seeking. Be sure to seek an experienced Board Certified PS for in person exam