Will a breast augmentation accentuate my outward pointing nipples? What can I do or have done to have normal nipples? (Photo)

Although your nipples are a little lateral, overall you have a nice shape of the breast. Therefore, I think that you are a good candidate for a breast augmentation and will be pleased with the additional volume and projection. Good luck!

Buildmydream,
you do need have a slightly laterally directed nipple areolar complex (NAC). In your case it appears to be do to a more a-frame chest (peaked in the middle and sloping toward the sides). Like a ball placed on the roof of house, it wants to roll down the hill. This does not mean you are a poor candidate for breast surgery however. To the contrary your skin and tissues appear to be favorable. Placing too large of an implant or overly dissecting toward the midline can certainly lead to the photos you provided as to what you do not want. An appropriately sized and positioned implant should yield a favorable result in your case. An implant really contributes to a more enhanced version of your natural breast shape. As your NAC natural deviates slightly laterally, it will continue to be laterally directed after your surgery. As long as the implant position and size are appropriately selected, you should end up with a more enhanced "you".
I recommend consultation with an experienced board certified plastic surgeon whose results and reviews inspire confidence. Address your concerns in detail and allow them to guide you to achieving your cosmetic surgery goals.

Adding
the volume of an implant to your breast will make the distance between your
nipples greater.  In your photographs,
you have a wide separation between your breasts and implants alone are not
recommended.  The technique I recommend
is a modified Benelli to reshape your breast, move tissue more medially and
elevate them higher.  At the same time,
fat transfer or small implants can be placed if additional volume is
desired.Best Wishes,Gary Horndeski, M.D. 

Your nipples are fine. Implants only make your shape fuller. They don't move them further apart. Best to look at pictures of women with similar measurements and shape for reassurance of this fact.Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author

You do have widely spaced nipples, and an augmentation will enlarge your breasts, but not change the relative nipple position. Your PS might discuss the option of doing a peri areola mastopexy to adjust nipples somewhat, but the change would not be significant.

Everyone is built differently and that needs to be taken into consideration when exploring breast enhancement options.  Detailed measurements and photographs need to be taken and analysis of not only breast shape and size but chest wall anatomy.  A plan is then developed to assure the best possible result.Based on the limited photographs submitted:The left breast is larger in size than the rightThe left inframammary crease is higher than the rightThere is good breast volume (B cupish)No ptosis (drooping)Wide base of both breastsLarge cleavage gap between the breastsSmall nipple/areola complexesModerate body buildMy recommendation would be for a silicone implant, under the muscle with a large diameter base through an inframammary incision.  You should get a beautiful result with the proper implant and placement.  I wouldn't worry about lateralization of the implants.  This is a short outpatient procedure with a quick recovery.Good Luck!

 I often tell people that breast augmentation is really just a magnification of your shape. It will not necessarily make your nipples point more outward or inward. they will be in the same relative position just larger. I think proportionally exactly the same. If you like the shape now you will most likely like the shape afterwards. Best of luck! Dr. Boschert

Hello and thank you for your question and photo's.   The most important step is that you have an experienced , Board Certified Plastic Surgeon.   Discuss with him or her your concerns.   The photo you showed of the augmentation shows me that the implants were placed too medial, in which it makes the nipples more lateral.   

Thank you for the question and pictures.  Based on your photographs, I think that you are starting at a good place and should have a very nice outcome with breast augmentation surgery.   Breast augmentation surgery will serve to "create a larger version of your starting anatomy"; a well executed procedure will not accentuate outward pointing nipple/areola complexes.   The "concern" photo you posted,  demonstrates a case where breast implants have been placed too far medially and inferiorly (medial and inferior AKA bottoming out malposition).
 
  Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery (regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. ***Ask to see lots of examples of his/her work. Sometimes, it is necessary to seek several consultations before you feel comfortable about your choice.

2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "D or DD cup” etc may mean different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, best not to discuss your goals and/or judge the outcome of the procedure performed based on achieving a specific cup size. The use of computer imaging may be very helpful during the communication process. The use of in bra sizers may also be helpful. In other words, use as many “visual aids” as possible during the communication process. I encourage patients to meet with me as my times as necessary, to feel comfortable that we are both on the “same page”.

3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery. I generally select appropriate breast implant size/profile after the use of temporary intraoperative sizers and viewing the patient's chest in the upright and supine positions.
  
I hope this helps. Best wishes for an outcome that you will be very pleased with.

Your breasts as well as breast implants simply sit on the rib cage.  The flatter your chest is, the more forward your breasts project.  Women like yourself who have more angle to the chest will have breasts that project more laterally.  You will not change that.  I don't think breasts augmentation will affect that significantly.  You look very normal.