when presumably, you and your surgeon agreed to move you implant more medial on your chest to get a better cleavage. Nipples will rotate outwards as yours have done when implants are moved that way. How to make this better? If you're in love with your implant position, you could have your nipples moved more medial but this results in scarring around the areola. If you prefer to leave the nipples untouched, you can either get used to the look when undressed to have the cleavage you do or you could go with much wider implants to give you some side boob and keep your medial poles as they are. If you don't want wide boobs, then you can shift your implants lateral to have more side boob and give up the cleavage, having a generous space between the mounds. This is something you should be talking to your surgeon about, especially if this was a complete surprise for you.