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. 

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.