Asymmetrical, sitting low and far apart nipples - What procedure would I need to correct the shape of my breasts?

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

From the photos in order to improve the asymmetry and shape concerns you will need to consider a lift in addition to implants. The result would be a perkier, uplifted look with improved symmetry. The first step is to visit with a board certified plastic surgeon near you for a consultation. I've included a video I hope you find helpful.

Hello,
I have reviewed your photos, and there is clearly a noticeable asymmetry in your breasts. Additionally, I believe your nipples are positioned lower than where they ideally should be. It's completely understandable that you may feel unhappy with this appearance.
The good news is, this situation is correctable. In your case, the most appropriate surgical approach would be a breast augmentation combined with a breast lift. That’s because there is significant sagging and asymmetry in both your breast tissue and nipple position.
When augmentation is performed together with a lift, I believe your nipples will end up being more symmetrical and better aligned — resulting in a more balanced and aesthetically pleasing outcome.
However, if only implants are placed without performing a lift, I do not believe the result will be optimal in your specific case. The underlying tissue and nipple sag would not be properly addressed, which may lead to a less satisfactory appearance.
In summary, if your weight loss has stabilized and you've reached your target weight, I would recommend a combined breast augmentation and lift as the most suitable surgical option for you.