Asymmetry and sagging - will I be able to achieve my wish pictures? Is over or under the muscle better in my case? (photos)

You should be able to achieve the look you are wanting. The asymmetry can be addressed and the position of the nipples corrected. The best place to begin is a consultation with a board certified plastic surgeon near you. During this important meeting measurements will be taken of your breasts and your goals for surgery will be discussed. Your surgeon will combine this information to recommend implants for you. In addition to volume you'll need to decide on type, style, and profile. I've included a video about this process that I hope you find helpful.

The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers or small implants can be placed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.