Thank you for your question. Your nipples point downward because the implants are sitting high. I humbly request you to not be discouraged. Large number of women experience differences in their breasts few days to few weeks after surgery and feel awful. After waiting for a few months, they finally get the results they were hoping for. Implants initially sit high up because the chest muscles and surrounding breast tissues have not become accustomed to the implant resulting in tightness. You have to allow gravity to take effect, and overtime, natural tissue expansion will allow the implants to fall into place causing your breasts to appear more natural, softer, and rounder. Once that happens, the implant will sit directly behind the breast tissue in a natural 45:55 breast ratio. Currently, there is excessive upper pole fullness (55:45), so in time, this will change. It is not uncommon for breasts to heal and adapt to implants at different rates. In fact, the process I described above can occur quicker in one breast over another. You may have to wait 3-6 months for the final results. If the breasts still appear different at that point in time, then you may share your concerns with your surgeon and they should be able to fix the problem. It could be that your muscle attachments or the inframammary fold attachments are really strong and they may be preventing the implant from dropping completely. Please note that for some of my patients with smooth implants, the implants had not settled until 5-12 months. So inward and downward breast massaging along with pole wraps above the breast do significantly help. Patience is key! For now, maintain strict follow-up with your surgeon and share your concerns. Their recovery instructions should take precedence over all else you read here as they are better informed about your surgical details. Hope this helps.