Lateral displacement of the breast and nipple areola complex can be caused by a variety of factors. This problem can adversely impact breast aesthetics and create difficulty wearing under garments. Your pictures suggest that your lateral nipple areola position is primarily related to the shape of your underlying chest wall. This type of deformity can’t be fixed without major surgical intervention. In your case, your breasts are literally falling off your chest to the side. This is being accentuated by your breast sag, as they can drift even further to the side. Under these circumstances, a breast lift will not only lift the breasts in an upward direction, but will also move the nipple areola in an inward direction as well. This is because the breast axis is related to the chest wall slope. This maneuver will improve the position of your breasts, but won’t totally correct the problem. It’s important to realize that gravity is an unrelenting force and there’s significant potential for recurrence of breast sag. If you’re considering correction of this problem, consultation with a board certified plastic surgeon is appropriate.