What Causes Nipples to Be Close Together After Breast Augmentation? (photo)

Positioning of th implants in the pocket below the nipples does change the relationship of the nipple areolar complex and the breast. In the patient on the right the implants are moved to the outside making the nipples look inwards. This can be corrected by moving the implants more inwards and upwards.

Please post more photos because I too agree this might not be the same patient. The post operative one view shows a lateral over dissection of the pocket causing lateral displacement. This gives a visual effect of inward pointing N/As. 

Thank you for the question.

During breast augmentation surgery, a breast implant “pocket” is dissected. Care must be taken during the dissection to make sure that the breast implant sits on the patient's chest wall such that the nipple/areola complexes are centered on the breast mounds.

If the breast implant  sits relatively to the side (laterally), the nipple/areola complexes may appear to be pointing inward and or appear to be too close to one another relative to the position of the breasts.

Conversely, if the breast implant pockets are too close to the midline of the chest, the nipple/areola complexes may appear to point outward.

 I hope this helps.