Correction of Breast asymmetry is one of the most difficult and gratifying breast surgeries I perform. I have a very long discussion during the consultation to give the patient the "ground rules" for attempting to correct this problem.
1. While dramatic improvement is possible, complete correction of the asymmetry is extremely unlikely
2. There will be several surgeries over a long period (usually about 2 years). Usually only the first one is a big procedure involving breast augmentation on the small side and breast reduction/lift on the larger side. The other procedures are usually touch ups and adjustments and do not involve much pain or recovery time. Some of my best results have been the most difficult and time consuming to achieve.
3. We must work together on this very difficult problem. Open communication about expectations and concerns is very important. Remember that your surgeon wants your breast to be more symmetric as much as you do.
4. There will be scars. Both breast will usually have some scarring which is visible. I show patients what these will look like before the surgery with example photographs
5. Symmetry in clothing is the primary goal. Most patients want to look symmetric in a bathing suit, T-shirt or other tight fitting clothing. You will always see more differences in the nude.
The fact that you have had several surgeries makes achieving better symmetry harder, but not impossible. Ask your potential surgeon if they have experience correcting breast asymmetry and if , frankly, they enjoy doing it. Some surgeons just don't want to take on this type of long term problem. You want to find a surgeon who is willing to spend time with you and likes taking on these challenges.