The goal of breast surgery is to make a matching pair of beautiful breasts. In your case, both breasts need to be lifted. The right breast needs to be reduced or the left breast augmented. If you are happy with the size of the left (smaller) breast then I recommend you go without implants, do the lifts and a small reduction on the right. If you are happy with the size of the right breast then I recommend you augment the left side with a small subpectoral implant and bilateral lifts. The lift combined with augmentation can be done through a circumareolar incision. The lifts can be performed without a vertical incision, lollipop or boat anchor scars using the Ultimate Breast Lift technique.
Best of Luck,
Gary Horndeski, M.D.