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

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.