My breasts are far apart, triangular, and my nipples point down. What can be done to fix this? (Photos)

Thank you very much for your
question and photographs. From your pictures, it does appear that you could
benefit from a mastopexy, or breast lift, which will raise the sagging breast
tissue to a higher, perkier position on your chest. When combined with
implants, your breasts will see an increase in fullness, with better shape and
volume. Additionally, your nipple/areola can be resized and reshaped, to better
match the proportion of your breasts. Unfortunately, there is little that can
be done to bring your breasts closer together, creating more cleavage. I
suggest scheduling a consultation appointment with a board certified plastic
surgeon, experienced in breast augmentation procedures. At this time, he/she
can show you before and after photographs of recent patients, helping you to
visualize the potential results that can be obtained through an augmentation
and/or mastopexy.

It appears that you would be a good candidate for a breast lift with or without a modest augmentation to give upper pole fullness. 

A breast lift would improve the shape of your breasts and the position of your nipple. If you were interested in increasing the size and fullness, then breast implants could be added to your surgery. To see pictures of women similar to you and their surgical results, click on the link below.

Both breasts demonstrate some constriction as well as ptosis. A mastopexy can correct this although it would have to be performed on both sides. Use of breast implants would be determined by the ultimate size even like to be.

You do appear to have significant breast assymetry. You need to be examined in person to determine the anatomy of your breasts to come up with a precise management plan. If you are happy with the volume of your right breast, then you will need an uplift on the right and a breast reduction on the left. On the other hand, if you would prefer the volume of your left breast, then you will need an uplift on your left and an uplift + implant on the right. A detailed examination is very essential in your case. For optimal outcome, please consult a fully qualified plastic surgeon, who has specialist qualification in plastic surgery 'FRCS Plast' after having being trained adequately in the field of plastic surgery, is registered on the 'Specialist register for Plastic surgery' with the General Medical Council and has been considered competent enough to be a member of the 'BAPRAS' (British Association of Plastic Reconstructive and Aesthetic Surgeons) and 'BAAPS' (British Association of Aesthetic Plastic Surgeons) at the least.

Thank you for your question and photos. You seem like an excellent candidate for an augmentation-mastopexy, or a breast lift combined with implants. A breast lift can raise the breasts, improve their shape and create a perkier profile, while implants will fill out volume. I recommend consulting with a board-certified plastic surgeon near you who specializes in breast enhancement. Good luck!

Some options for improving the shape of your breasts include a Mastopexy, or Lift, and Breast Augmentation. To determine whether either or both of these procedures would improve upon your current breast shape, a physical exam with a Board-Certified Plastic Surgeon is recommended and encouraged. With either procedure, a skilled and experienced surgeon should be able to improve not only the shape of your breasts, but also the distance between them and the position of your nipples. We wish you the best and invite you to contact our office with any questions!

Thank you for your question and photos.  You do have a significant degree of ptosis or droop to the breasts.  This would require an uplift procedure to move the breast tissue and areolar up.  This can provide a better shape to the breast without the need for implants.

If you are happy with the size at the moment then a lift alone is a good option. You could consider this alongside fat transfer or augmentation if you wish to achieve increased volume especially in the upper pole. 

If your are happy with your breast size then breast lift alone will alleviate your concerns. I will recommend small reduction on the left side to get better breast symmetry. If you desire increasing the size of your breasts then I will recommend augmentation mastopexy.