I would strongly suggest you get multiple opinions.
Ok so I had SIX consults and every one of them, half of whom specialize in trans care said absolutely no to the shaped implants. Initially I was pretty set on the shaped implants.
Here's why.
First, anatomical is a monomer, they are teardrop shaped and designed to provide additional upper pole volume, specifically for mastectomy patients. In all women, but trans women in particular, the wide distance between the breasts is due to the under the muscle placement and the need to maintain adhesion between the muscle and the rib cage. The shaped implants require the surgeon to perfectly position them, any error in positioning will be visible through the skin and potentially look weird. The shaped implants also will not help with the cleavage (distance between boobs) because they need to sit in the pocket, and if the pockets are too close together you will end up with a uniboob as the skin/muscle loses adhesion with the rib age.
The main thing that makes implants look fake is the lack of a fold and the implant being visible through the skin (my opinion), most who did not have a lot of breast tissue will not pass the pencil test after implants regardless of how big you get. This is also true for cis women, according to my surgeon.
The nipple thing is purportedly skill of the surgeon and anatomy of the breast, according to multiple consults. My nipples post implants are where they should be and I have a finger and a half between the breasts, and they are easily squished together and flatten when I lay down. It's only been a few months but I'm past the "torpedo boobs" stage and they are settling. I did have an A before so may have some fold after but maybe not.
Of the six, only one of them recommended subglandular and his reasoning was that it would result in more drop and less distance between the breasts. He also had no experience in trans care and overall I was unimpressed.
I ended up with sub muscular textured high profile, and understand this is fairly common with women and trans women with a wider rib cage.
Good luck in your decision and make sure you do your research and are comfortable both with the surgeon and the conclusions he is leading you too.