Is this normal 4 days post op to have a weird shape and nipples being so close together?

Thanks for the question. Its too early to talk about results. In my practice, after performing a BA I recommend to my patients to limit the movement of the arms for two weeks. After that, you can move your arms taking care and always with common sense. In this regard, it's not advisable to carry heavy weights to prevent the implant out of position, and allow the formation of the physiological capsule around the implant, also to avoid pain and breast swelling. Respectfully 

You look great. I don't see anything abnormal in your result. Be patient, and don't micro-manage this post-operative experience. It will be months before you see the final result.Best.

Thank you for your question. It is very normal to have a different shape or look early on then what it will look like in the long run. Your surgeon will likely have you start massaging and as they settle you should be happy. Good luck and wish you the best.

Thank you for sharing your question and photographs.  Based on your pictures alone it appears that you are healing well and your current results are expected.  Due to swelling of your chest skin, breast tissue and muscle, your implants are being held flat and high against your chest.  As this swelling resolves you will see a gradual "dropping" of the implant and rounding out of the lower portion of the breast to leave you with a more natural appearing result.  I know waiting is difficult, but hang in there, it looks like you will have a nice result.

Thank you for your question. You look appropriate for your post op period. Actually look really good. Please follow instructions from your PS