Young (18) but Uneven Breasts

In my opinion, you would need a lift and reduction on the right to roughly make them equal. Subsequent to this youcould udnergo bilateral augmentation with implants (saline due to your age) or consider fat grafting for a  subtle but autogenous tissue augmentaiton without implants. This may take more than one session.

Dear Anon,

The condition that you have is a congenital breast deformity.  Of course, the condition was not present at birth since your breasts aren't present at birth.  However, the condition is programmed into your breast genes.  Some insurance companies will cover this type of breast correction.  Check with your insurance carrier if you have health insurance.  The correction can be complicated and might require a lift on your right breast and possibly tissue expansion on your left breast to enlarge it.  Consultation with a plastic surgeon will answer your questions and assist your insurance claim.  Good luck!

Breast asymmetry is a very common problem for a lot of women. In your case this is compounded with asymmetry with involves both size and shape. I would also point out that you also have a tuberous or constricted breast deformity which needs to be corrected. There are numerous different ways your case could be done. I would recommend a combination periaeolar augmentation and mastopexy which will address both the size and shape issues. Make sure to visit with several doctors and spend time looking at their before and after pictures with examples of cases like yours.