Breast aug or breast aug with lift? Looking for a natural result that fits my body (Photo)

Based on your pictures, I do not think that a lift would help you achieve your goals. I think that a breast augmentation is what you would need. Her nipples are in good position in comparison to your breast and an implant would help raise her nipple just slightly.

Based on this picture, it appears that the left nipple is slightly lower than the right nipple. It also appears that the left breast is slightly larger than the right. Overall both nipples appear to be above the inframmamary fold or IMF. Based on this, neither breast would absolutely need a lift if treated separately. However, you may desire a unilateral breast lift, in addition to asymmetric implants, in order to correct breast asymmetry. It is difficult to tell based on pictures, but this can likely be done via a peri-areolar (around the nipple) or lollipop lift, which are both minimal incision breast lifts. Another option is to perform the breast augmentation first, allow the implants to settle, and then decide about the breast lift at a later time.

I would recommend seeing a board certified or board eligible plastic surgeon with aesthetic surgery training/experience who can perform a full exam and provide safe recommendations. A well-trained surgeon will specifically use your breast measurements to provide you with recommendations on the ideal size implant for each breast. I would love to help you in this process if you are willing to make a trip to Virginia Beach! Best of luck.