Breast Asymetry Cause by Scoliosis, What Are My Options?

Thank you for the question and picture.

I think you will be best off with bilateral breast augmentation as well as breast lifting of the lower breast.  The breast lifting as well as the use of different volumes/profiles of breast implants ( preferably dual plane silicone gel) will serve to improve the symmetry of the breasts.

It will be important to seek consultation with a board-certified plastic surgeon well experienced in the treatment of significant breast asymmetry.

Best wishes.

Patients with signficant breast asymmetry like in the picture shown can be helped signficantly, but the options are as many as the desires of different individuals.

My preferred approach to address this problem is a periareolar lift with a contralateral fat transfer as the first stage.  This could be followed by an implant augmentation as a second procedure, or the implant be inserted in the first stage.

The most important factor is to find a plastic surgeon experienced in the treatment of breast asymmetry as this is not a simple issue to correct but it can be with wonderful outcomes.

From your photos think your problem is more a problem of breast asymmetry then Scoliosis or Poland's syndrome. If you were to measure the distance from your  right clavicle to the nipple it will be less than the distance from the left  clavicle to the left nipple.

A mastopexy(breast lift) of the left side would be needed him to raise the nipple to the same height as the right side. I don't think an augmentation alone can solve the problem of the different nipple  levels.Implants in your case could be used to make your breast larger if you want them larger. If you like the size of your breasts now then a left-sided lift and small reduction would be the best procedure to even out breast.