Is this parenchymal maldistribution? How would you go about correcting this deformity, considering my aesthetic? (photos)

A breast lift will provide the changes you've listed. It will shrink the areolas, lift the breast tissue and recontour the lower pole of the breast. The lift will also improve the upper pole fullness. If you want more volume than you currently have, fat grafting may be a very nice option for you. An implant will also certainly increase your volume as well. You have plenty of very good options to achieve your goals.
Best wishes,
Dr. Jan

Your breasts are too low, too lateral, you have wide cleavage and asymmetry.  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.  The areolas can be reduced to the size proportionate to your breasts.Best Wishes,Gary Horndeski, M.D.

Thank you for sharing your question and photographs.  It appears that you have a large amount of natural breast tissue which has sagged with time.  Depending on your goal results you would best be treated with a lift to resize your areola and nipple, and to place it higher on the breast mound.  Key considerations need to be made so be sure to discuss with your ASPS surgeon in great detail.

You appear to be a good candidate for mastopexies which would reshape the breasts, reduce the size of the areola, and give them a perky appearance.If you wanted more volume, then an implant would be an option.  However, in your case, due to the current shape of the breasts, you might want to consider getting implants as a second procedure.The scars are the trade-off for better shape and overall appearance.  Usually the scars fade nicely and are "worth it."An in-person consultation with a plastic surgeon experienced in cosmetic breast surgery will be key to explaining your options. Thank you

Dear Helpful6133,
it is hard to tell for sure without an examination but based on your photos, it looks like you might benefit from breast lift. My preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.  If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

Hello and thank you for your question and sharing your photos. The best advice you can get is from an in-person consultation with a plastic surgeon. You benefit from a mastopexy and if so desired, a mastopexy-augmentation (lift combined with implants). I would seek consultation with a board-certified plastic surgeon for a full evaluation and advice. Best,
Pejman
Aflaki, M.D.
Johns
Hopkins-trained double board-certified plastic surgeon

Hello dear!!
Thanks you for your question. It is my pleasure to help you with your concerns.
You can be your own best version, and you can definitely achieve amazing results with plastic surgery in order to improve your breasts. For you, I recommend a breast lift with areola reduction, for perkier, youthful breasts, no implants needed.
I suggest you to make an appointment with a board certified plastic surgeon for a good evaluation and to talk about your goals.
I hope this is helpful.  Good luck :)

Hello and thank you for your question and photo's.  You may have tubular breasts , either way, you would need a lift with areola reduction and implant.  I recommend you find a Board certified Plastic Surgeon in your area.  

Thank you Helpful 6133 for your question and photographs.   You can have reshaping of breast and reduction of areola with breast lift surgery.If you want to increase breast size ,  breast lift with implant / Fat injectionis solution for you.However scar fade with time and it is a small trade off for desired look.Please consult board certified plastic surgeon and discuss in detail about your desire. Best of luck  Dr Milan Doshi, Mumbai, India. 

Thank you for your question. Based on the picture and asymmetry breast lift or mastopexy with without implant will give good results. Please consult with a board certified PS fro evaluation.