Are my only options a lift with implants or implants over the muscle? (Photo)

Your best option hands down is a lift with the implant under the muscle.

You need a lift and just placing an implant would not give you a good appearance to your breast. You don't have enough tissue to go under your glad, but if you did put big implants in under the gland you would just have big droopy boobs.

If you need a lift you need a lift because contrary to most people's understanding breast implants don't lift.

From the submitted photos it is possible for you to consider implants under the muscle. The question is the lift. It does appear you have nipple asymmetry which would only be corrected with a lift. I encourage you to visit with a few board certified plastic surgeons in your area to listen to varying opinions based on your desired surgical outcome.