Based on my limited research, I would say you do need an uplift on one side. If you just get implants, the difference between them would look more prominent and you would probably be unhappy with the result. I was upset when I was told I needed an uplift at 22. I am now 25, medium skinned too (mixed race), and I’ve realised that I’d rather have amazing boobs with scars than the flat, deflated boobs I have now. I am booked for 17th October and I am so glad I went for it.