14 months out! Probably final review :)

I am 19 years old. I have asymmetrical breasts by a full cup size. One breast is a full A, the other is a full B. My breasts have been uneven since I began to develop as a 13 year old.

My asymmetry makes me really self-conscious with guys to the point of interfering with my relationships. Bras never, ever fit. Bikinis are a nightmare as I have to try to conceal my lopsidedness. When I wear low cut tops, my cleavage is uneven. I can only wear padded bras because when I wear molded I look lopsided. I cannot go braless even though my boobs are perky because it looks off!

So, after several months of research, I've decided to get a breast augmentation to improve symmetry. Initially, I considered doing an implant on one side only, but after thorough research I decided that while that might match my breasts for now, down the road they would become asymmetrical again as one began to sag. Also, I didn't want the difference in feel.

I consulted with 4 or 5 doctors. I finally found a doctor who said he could do silicone implants because my asymmetry qualifies my surgery as "corrective" rather than cosmetic. I prefer to use silicone because it gives a more natural appearance and feel overall. I am thin and want to avoid rippling and palpability of an implant, which is more common with saline.
I really want a natural look--I want people to not notice I had surgery, if possible. I would not be considering breast surgery if not for my asymmetry, so "big" is not the goal here. I told my doctor I would be okay with being a full C or small D (so a cup size increase over my larger breast), but no larger as I have a small frame despite being almost 5"6. I am 120 lbs.

My biggest concerns are that because the doc will be using different cc amounts, my cleavage will still be uneven as I'll have more upper pole fullness on one side. Not sure if this concern is warranted, I will need to discuss further with my doctor. But I guess no one is perfectly symmetrical. Also, I worry that because silicone isn't adjustable, I will still have noticeable asymmetry. But silicone implants come in 25 cc increments so I guess even if the difference still ends up as 25 cc or fewer, that's not going to be super noticeable unless I am looking for it. Another concern: implants come in different widths, so I don't want one side to look a lot wider. I will talk to my doc about all of this and post an update later. He is away right now.
The doctor plans to do an aerolar incision. One of my aerolas is bigger than the other. He said he could correct this but there would be a scar all the way around. I'm not sure yet if its worth it to have them perfectly even but scarred more. I feel like it is only notable that the aerolas are uneven because the breast size difference enhances it.

I am a perfectionist and a worrier by nature so of course I am certain to have lots of questions for my doc. But I'm also very excited. You don't know until you've lived with asymmetry how frustrating and humiliating it can be. No amount of people telling me guys don't care, or it's not noticeable, or I'm being silly and it's no big deal has ever made me feel better! I want normal, mostly symmetrical boobs and I want to fit into a bra like a normal woman! I like my boobs individually, but together they just do not match.
So, here begins my journey. I am planning to get surgery in December when I am home for the holidays from university. If I could I would do it now! So anxious to get it over with....less time for me to over-analyze and worry! :)

I spoke to my surgeon, and asked some more questions. Here's what he told me:
He told me to avoid dental work post-op for 6 months and a few other interesting things. He said he does not insist on post-op massage but will teach massage techniques for those that want to do it. He doesn't think it's 100% necessary. He told me I am good to travel a week post-op as long as I have someone to carry my suitcases!! He said his rule for bras post-op is no underwire for 6 weeks. He said he needs to examine me in person but I may need 2 different implant profiles (i.e. one high profile one moderate plus or something like that). I asked him if I might have a big gap between my breasts and he said I did not naturally have a very large gap so I should be okay. He said to push gently on my breasts and see where they begin to see how big the gap will be.
Also, I asked about the rounded fake look some women end up with. He said this was due to using too large of an implant. He doesn't like to do that and agreed with me that it was an unflattering look.
I am officially scheduling surgery tomorrow, for mid or late December. Fun Christmas I'll have...lol.

My surgery is scheduled for Dec. 27th at 7:30 am. Pre-op is Dec. 21. I bought a sports bra from Lulu lemon today; doctor says they'll give me a bra for immediately after surgery. I've been doing a lot of research on sizes and profiles...I think my best bet is moderate profile, around 250 ccs (but obviously they're uneven, so one boob may have 300 and one have 200 or something crazy, and I may need 2 diff. profiles). I really don't want a ton of upper pole fullness because to me that looks very unnatural. So if my doctor must use two different profiles I hope he can do mod and mod plus. Also nervous about the fact that one nipple is higher than the other...can't remember if my doctor said he could fix that, or if it was going to be really noticeable after surgery (I don't think it is super noticeable right now).