What would happen if I didn't get the lift and only got implants for now?

HI,Based on the pictures, your surgeon is correct in insisting on a full breast lift. Implants alone would be a mistake and give you a very poor result. If you have to choose any operation, then a lift alone would be the wisest route. I hope this helps.Regards,Daniel A. Medalie, MD

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  With that
being said, based on your photographs, the best shape and contour could be
achieved with an implant and a wise pattern breast lift. Your nipple sits
below the inframammary fold and without a lift in addition to the implant, this
will not have a natural shape.  A breast lift with an implant can
result in a very nice shape if good technique is used.  The size,
profile, and shape of the implant is based on your desired breast
size/shape, your chest wall measurements, and soft tissue quality. 
This decision should be based on a detailed discussion with
equal input from both you and your surgeon.   
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon