I had my surgery done about five years ago. I was severely assymetrical, with the left side being almost a C cup & the right side, closer to an A. After having four children, and being the age of 35, I thought they were pretty much done taking form, and I was ready to feel like a whole woman, without the embarassment of being seen naked. I inquired about the use of adjustable implants, which run a little more money but offered the ability to get them closer in size, AFTER they were implanted.
Ultimately, Dr. Ferrari suggested that we go with the adjustable implant only on the smaller side. He would make the larger breast the chosen size and after inserting them, over many months, he would fill the smaller (adjustable) side up with additional saline. At one point he even filled it up more & made it bigger than the other side for about a month, to expand and stretch the skin out like a balloon. Finally, about six months after surgery, he removed the excess saline to bring them as close & proportionate as possible & also removed the filling port.
On my left side, the naturally larger breast was sagging quite a bit PRE-surgery which required a lift. I have a minimal scar all around the areola but what bothered me most was that areaola on that breast was much larger than the one on the right side and after surgery it was also very puffy in it's natural state, as if it wasn't even attached to nerves/skin or anything underneath anymore and just free-floating full of air. The only way to get it to look normal was to make it erect. It was like this immediatly after surgery so about 6 weeks later, Dr. Ferrari did a revision to trim off some of the excess areola & make it closer to the size of the right one - charged me for that tho. :(
All in all, I think he was the best choice of a plastic surgeon for me. I am very happy with the look and feel of my "D" breasts. Everyone, thinks they are natural unless I show them the signs. I've never had any complications and I would definitely encourage other women with the same issues as mine to do it if they can! (Sorry the photos aren't very good)