My nipples are pointing outward. Will they settle and eventually point straight ahead? (Photo)

Dear jassiem24,I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the very early stages of the healing process at 4 days  post op.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Think of the nipple-areola is part of the skin envelope of the breast, so its position does not change as implant are moved. This can create the appearance that they are to the side. Changing nipple position requires some version of a lift even if they are moved sideways and not up.

After 4 days it is impossible to say what will happen with the shape of the breast. That being said if you had closure of the pocket near the armpit it is not uncommon for the nipple to point out until everything heals and settles. Follow closely with your surgeon to monitor your progress.