30 days post op and I hate my breasts. (photo)

As you mentioned, you are still early out from surgery and things will change as the tissue soften and settle.  Your photos look like you have a decent result and overall good shape.  Be patient with the healing process and things may even out a bit more over time.  A small revision can always be done after 6-8 months if you are still unhappy with your nipple position

It takes 3 to 6 months to see the final result after a reduction. Also remember that a breast reduction is a reconstructive procedure to try and restore normal proportion. There will always be some degree of asymmetry after any reduction/lift/augmentation.

I'm very sorry for the problems you're having.  A pre-op photo would be helpful in assessing the result.That being said, you appear to be healing well (ie no signs of infection; no report of systemic symptoms) so you should give it longer (like 6 or so months).  At that point, you can consider a revision, if you still want to, with your own or another board-certified plastic surgeon.  I hope that this helps and good luck,Dr. Alan EnglerMember of #RealSelf100