Breast lift will be necessary, but be sure to seek the right surgeon

In my opinion, you will require a breast lift to get the look you desire.  However, if the lift is not performed correctly, including internal sutures to lift the implant, you will likely "bottom out" in a few years and end up with implants which have droppped, making the nipplle and areolae complex appear too high, and with the trade off of scars.  It is very important thjat you pick a surgeon that knows how to perform this proicedure properly, and performs if often.  Fortunately, you have a very highly skilled surgeon in your area,  Dr. Dean Fardo, who it looks like also answered your question - I would recommend giving him a call.