Hi Kim. What you are experiencing is not altogether uncommon. First, your preoperative photos would be of great benefit to assess the preoperative normal anatomic asymmetry that everyone has present. The crease height is often different, as well as the width of the chest, side-to-side. These asymmetries can sometimes be camouflaged to look better after surgery, but often are either unchanged or may even be more pronounced with breast augmentation. Further, at just 4 weeks postop, I would expect them to still be quite different. The two breasts heal at different rates, with one usually feeling and looking better more than a week faster than the other side. I tend to tell my patients that it will be 6-8 weeks before they really settle down. And to really put things into perspective regarding healing, that it takes about a year actually for the scars inside and out to become mature. So, hang in there for a while longer. If by 2 months or so, you are still concerned, return to your plastic surgeon so they can reevaluate you at that point, and compare the appearance to preoperative photos. Hope this helps calm your nerves!
All these labels can be quite confusing. Most importantly, when deciding which plastic surgeon to choose, a plastic surgeon's board certification is the single most important requirement. There are many false "board certifications", that non-plastic surgeons use to lure people into believing they are real plastic surgeons. The ONLY board certification for plastic surgeons is the American Board of Plastic Surgery (ABPS). This means that the surgeon has satisfied all written and oral examinations after completing a full training program in Plastic and Reconstructive Surgery. The other groups you mentioned are all societies that a plastic surgeon may choose to join to allow them to keep up with the latest in advances in the field, and they are simply a personal choice. The American Society of Plastic Surgeons and The American Society for Aesthetic Plastic Surgery are both groups that require ABPS certification, as well as additional requirements of plastic surgeons before they are allowed to join.
As long as all three are ABPS-certified, then they have met these high requirements you should seek. Once you have found an ABPS-certified plastic surgeon, otherwise I would suggest that you consult with several surgeons so you can see who you simply feel the most comfortable with, then go with your gut. Hope this helps!
I know you are very worried at this point, but things do really change quite a lot in the next several months. It's absolutely normal to have doubts and questions in the early postop period after breast augmentation because everything can look a bit odd for a while. At first, the muscles try to contract back to the chest wall and smash the implants too high, giving an unnatural appearance. However, you will see that the as the skin and muscles relax, your look will change for the better and more natural usually. Be patient, follow up with your plastic surgeon so your fears can be alleviated, and let your body heal. The HP implants are often used when a woman has a narrower chest wall (so the implant doesn't hang too far over the sides)and needs a little lift that can be gained from the increased projection. Most likely, you will end up loving your results, but it does take time. Thanks so much for this excellent question!
An abdominoplasty is expected to remove a great degree of skin excess and any overhang that is present. However, it does not change the character of the skin to make it more elastic. Although any stretch marks present on the lower abdomen within the area of skin excision will be removed, those remaining will still be loose and have a poorer texture than the rest of the skin. When abdominal muscle imbrication (corsetting together) is done, it will nip in your waist some and improve your abdominal girth, however this is limited by the intra-abdominal volume of your bowels and fat apron INSIDE the abdomen. This is why many surgeons will recommend that one should get as close to their ideal body weight as possible in order to acheive the most optimal results. I usually recommend flank liposuction as well to contour the sides and "muffin-top" area so it blends in with the tummy tuck area. Thanks for your question! Good luck!