Why are my boobs and nipples pointy? Seems conical. My nipples always poke out and seem puffy also.

the nipple areolar complex is conical which is very normal.  This physical appearance is totally within normal limits.  After children, it will most likely change to a more flatter appearance. 

Thank you for your question and photo. What you appear to be seeing is a component of nipple herniation. This is a condition where in the rest tissue pushes  against the skin beneath the areola, given a more pointy appearance to the breast. Frequently, patient will say they like the appearance of the breast better when their nipples are cold or stimulated. This is a result of the nipple and areolar skin tightening and pushing this tissue back in. This is more a function of your breast anatomy than of the augmentation or implant. A periareolar mastopexy, where some skin around the areola is removed can help improve this appearance, although based on your photos, I do not think the scar would necessarily be worth it. Discuss this with your surgeon, who should be able to give you a more detailed answer. Best regards.