Breasts look different and nipples don't point straight? (Photo)
Doctor Answers 2
Asymmetric breasts after breast reduction
Asymmetry after breast reduction
That said, you appear to have a very minor asymmetry early on. The photo must be inverted because it seems to me that the left breast is slightly smaller than the right. I do not, however, appreciate any nipple asymmetry. I would bet if you measured from the nipple to the midline of the chest on each side, you would find the distance to be virtually identical. There is a little more fullness in the outer quadrant on the right, and this may the optical illusion that the nipples are different. Again, this is all going to continue to change and evolve over time as you heal. But, even if nothing changed, it is my opinion that the asymmetry is insignificant and within normal limits. I would even venture to guess that you had more asymmetry (which is very common) before surgery than you do right now.
The bottom line is that you have to be patient and allow the healing process to occur. By all means share your concerns with you surgeon and follow all instructions.
Best of luck.