Severe asymmetry - can I fix this and achieve an E cup? (Photos)

Thank you for your question. I have been in practice over 30 years, and breast surgery and revisionary breast surgery are a large portion of my practice. I have written many papers on this topic. Over the years, I have developed a surgery specific to your needs and anatomy. It is termed "Reductive Augmentation". The surgery is designed to remove the inferior pole breast tissue, more on one side than the other, so that I can place the same size and style implant into both breasts. It is especially suited for those patients who have significant breast asymmetry. If you perform a reduction on one side and implant on the other, they will always look like cousins not sisters. You should be able to have an excellent result. Best wishes to you.

You should ultimately be able to achieve your goal but if you want to do it the right way you should be willing to accept at least two, possibly three procedures. The first would be a reduction on the right side with a lift on the left to achieve as much symmetry as possible. This would be followed by a second procedure several months later to place your implants that will hopefully get you to your goal size. If your tissues are too tight to get to the size you want then you would need to come back later, once things have stretched and loosened in order to get a larger implant in. Trust me, trying to do it all in one procedure is setting you up for problems you don't want to deal with.