I can only answer based on this one picture. It appears that your nipple/areola complexes are slightly below your natural breast crease. Placing and implant will give you a "double bubble" look (the breast hangs off the end of the implant). The best position for the nipple/areola and breast is centered over the implant.
In my opinion you will need some form of breast lift. Visit with a couple of plastic surgeons to have a complete exam so that you can gather some recommendations.
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