Pseudoptosis. Augmentation or lift? (Photo)

Hello and thank you for your question. You are a good candidate for a breast
augmentation with a dual plane technique of implant placement.  I don't think you need a lift, but only a full examination in-person could accurately determine this.   The size 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.  This entire surgery can be performed with a
small incision technique.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most important aspect is to find a
surgeon you are comfortable with. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

You are on the right path to a good result, but I would not predict you will need a lift in a few years.  Be sure to get a second opinion to get reassurance you are seeking.