My breasts are wide set and my nipples point outward, will an augmentation exaggerate this? (photo)

Thank you for the photos. For the most part, breast implants are round. When placed under the breast they stretch maximally at the center and have less volume (and stretch) at the edges. This has the effect of raising the skin at the center of the breast implant the most, and pushing the skin near the edges of the implant out radially. Your nipples are very lateral, so the center of the breast implant will be well inside the position of your nipples. When the implants expand your breasts, they will tend to make the nipples look more lateral. The closer together the implants are placed, the less projection will be provided behind your nipples and the more lateral they will look. On the other hand, if the implants are placed farther apart, the nipples will be a little more centered on the breast mound (better out of clothing) but the gap between the breasts will be bigger. A smaller gap will look better in clothing, but the nipple placement will look worse.It is hard to tell from the photos, but your nipple/areolae appear puffy in the left-most picture. If this is the normal relaxed shape of your breasts, this will likely continue to be the shape after breast augmentation. Puffy nipples are often corrected with a peri-areolar lift. This type of lift could also be used to move the nipple up and more toward the middle. This type of lift cannot move the nipple very far, but it could help. If you do not have puffy nipples, the lift could still be used for nipple position. If you do, it could help both issues.When you choose your Board Certified plastic surgeon, be certain to ask them the questions you are asking here, and go through all your options. A lift can always be added later if the nipple position is bothersome, but it is worth discussing this option before your breast augmentation. Breast lifts are often used to reposition the nipple/areola complex higher on the breasts, and I have included a link with some example. Best of luck to you. 

Thank you for your question and photograph.  Based on your photos I do think a breast augmentation can give you a nice result.It is good that you are aware of the wide separation of your breasts.  Breast augmentation will not correct this wide separation.  However a proper procedure by an experienced board certified plastic surgeon should improve the overall appearance of your breasts.Just be aware that the wide separation will persist and generally speaking asymmetries and other differences in breast anatomy can be exaggerated when the breasts are larger.I would not let this dissuade you however as I think you will enjoy having an improved shape and size to your breast.Please consult a board certified plastic surgeon who is very experienced in breast augmentation.