Hi there, 
Thank you for your question.
Unfortunately it'll be difficult to give any proper advice without any clinical photos. 
In general, it all depends on your desires and expectations for your ideal surgical outcome. Sometimes for "borderline" cases where the nipples still sit in reasonable positions with reference to the breast fold, it may still be possible to "get away" with a lift provided there is appropriate choice of implants and surgical technique. However, it'll have limited effect in elevating the "footprint" of your breasts on your chest wall. It also depends on your pre-existing breast volume as well as tissue quality. 
In short, I'll recommend you to seek a proper advice from a specialist plastic surgeon for a detailed clinical assessment.
Hope that helps.
Best wishes
Ellis Choy

Hi Patricia.
Whether you require an augmentation with implants alone or an implant with a lift really depends on the state of your breasts at present. Without seeing a photo, it's hard to decipher. In assessing your breasts, we would need to take note of where your nipple and breast tissue sits in relation to the breast crease. Some patients may be borderline in terms of needing a lift or not and, in such cases, it may be possible to get away with implants alone through modified techniques. The risk of performing an implant augmentation alone in a breast that is droopy to start with is the risk of early recurrent droop (ptosis). 
An assessment by a specialist plastic surgeon will be able to determine which technique of breast enhancement will give you the best outcome.
All the best.
Dr Ray Goh