Do I need a breast lift and a breast augmentation for the results I want or will a breast augmentation alone work?

Thank you very much for sharing your concerns with us. In this regard, i recommend a breast lifting with implants to get a bigger breast with adecuate projection. In other words, you need breast volume (implants) and you need breast projection (the lift).I recommend you, to use a microtexturized highly cohesive silicon implants ("gummy bear" implants), with high projection and different volumes of each side (bigger in the left breast) to correct the breasts asymmetry you have. Also, I recommend perform a "Lollipop Breast lift" to obtain an adecuate breast projection.Respectfully, Dr. Emmanuel Mallol.-

Because your photos show quite a bit of asymmetry, implants alone would not give you an acceptable result. At the least, a lift on the side that is lower should be considered. The type of lift will depend to some degree on the size of the implants.