Thank you for your question and photos. Without the benefit of preop photos, it is difficult to comment about your result. What I see that your right areola was inset in less than a round design. Most surgeons follow their preop markings intra-operatively, but sometimes one needs to make adjustments during surgery. The right areola will never "settle itself". The reason I'm saying this, is because your surgeon over resected the medial breast and excess breast tissue was left laterally. The tension lines in your upright photo tends to pull laterally, thus elongating your areola. Your photo shows that you had excess tissue left inferiorly and you are sagging already. You need to give time (about 6-8 months) for healing. Stay close to your surgeon, most likely you will need a revision. Good luck.
