H.S.
Do not do implants. I had my breasts reduced/lifted 2.5 years ago, and couldn't be happier. Insist that your surgeon use the newer procedure - if he talks about an 'anchor-like' scar, he's doing the wrong surgery. My scar is simply a two inch line from my nipple down, and I can barely see it now. It was pretty ugly at first, but if you use the surgical scar cream religiously, it'll fade well.
The older procedure, with the anchor-like scar, is awful and uncomfortable, as the scar goes from your nipple down, and then circles around the bottom of your breast. Bye-bye underwire bras - you won't be able to wear those. Plus, you'll get the added bonus of a flappy scar area (referred to as a 'dog-ear') under your arm, which might require further medical procedures to remove.
Best of luck! I love my new chest, and I'm sure you'll love yours too!