First of all, you should understand that you don't "need" to be judged "severely asymmetrical" in order to receive silicone gel implants.
Silicone implants under the age of 22 are perfectly legal and appropriate for patients who have fully informed consent, and understand that use of silicone implants under the age of 22 is considered "off-label" by the FDA.
Off-label use is something that every doctor does frequently, when a medication is prescribed for another reason than the primary FDA-approved indication. For example, Botox is approved for cosmetic use only for the frown muscles between the brows. I suspect that virtually every physician who uses Botox ALSO uses it for crows feet expression lines, forehead lines, and other areas as well. This is an example of "off-label" use. We're not breaking the rules, we are simply making an informed medical choice in conjunction with our properly-informed patient.
So , yes, it's possible; yes, it's legal; and I do this for my patients who are properly informed and choose that option.
You need to talk to a few other ABPS-certified plastic surgeons; especially those who support the right of properly-informed patients between the ages of 18 and 22 to consent and request the implants of their choice. I do. Best wishes! Dr. Tholen