Hi Macas08.
Thanks for posting your photo and question. It would be helpful in your assessment if a frontal photograph was available; however, judging by the available photo, your nipple position and glandular distribution don't seem too bad. You may be able to achieve a good result with implants alone. It would be best to seek a specialist opinion though to make a definitive assessment.
Best regards,
Dr Ray GohValley Plastic Surgery