Why do you think my results are like this? How can I avoid this happening again? (Photo)

Your current implants are too large and heavy for your tissue and frame. You do need to go smaller and smaller implants will sit better in your pockets. The larger areolae can be made smaller and raised if needed.

Dear Montreal21,
based on your photos, it looks like you would need a surgery to address asymmetry. You will probably need different size implants. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

At this time, your implants are at one level and your breast tissue is at another. Implants are not lifetime devices and they can undergo a variety of complications including shifting. I recommend smaller implants and a circumareola approach to reposition the nipple-areola complex to correct better symmetry. This is not a guarantee of perfect symmetry.

Best Wishes,

Gary Horndeski, M.D.