Hello, thanks for your inquiry and your pictures, unfortunately you need a breast lift for optimal results. You see, your nipples are not in the ideal position and the implants would not improve the position at all without a lift.
Please make sure that you and your surgeon are on the same page. Don't forget to discuss all your concerns, options and expectations thoroughly. Have a safe and pleasant PS Journey!
Dr. Jaime Campos-Leon
Board Certified Plastic Surgeon