I really hate my breasts as they are so saggy and ugly. Can I make them smaller and perkier as if I have implants? (Photo)

You're best bet to try and achieve a closer look to your idea is breast reduction / lift, which will give you a smaller, perkier breast, reduce the size of your areolas, and have them facing forwards.  You may even consider combining this with an implant to increase the fullness in the upper pole of the breast.  The trade-off, however, for a breast reduction / lift are the incisions (ie scars).  All the best.

Yes it is possible and straight forward to do a breast lift with possible reduction depending on the size you wish. The areola can be reduced at the same time. See a board certified plastic surgeon for a consultation and to discuss options.