Can I get a nipple lift with implants to avoid scarring?

Thanks for your question!  Based on the amount of ptosis (droop) that you have, I think you would benefit from a true mastopexy or breast lift.  After seeing you in person, I could determine if we could get away with doing a lollipop or vertical mastopexy or we would need to do a full wise pattern (anchor incision). You may find a surgeon willing to give you what you are asking for, but I don't think you would be happy long-term.  Good luck!

Based on the photos, you wouldn't be a good candidate for a "donut lift" which leaves a scar all the way around the areola.  I would recommend a full lift to raise the position of the nipples and remove the extra skin that hangs below the breast fold.  A full lift with augmentation would get you the best, perkiest result.