Unhappy with the results - how can I improve the asymmetry? (Photo)

Hello, thank you for the photos and question. I'm really sorry you're going through this. You’ve clearly invested time, money, and emotional energy into this process, and to be left unhappy—especially when your concerns aren’t being addressed—can feel devastating. I would recommend lifting your breast and giving you a more youthful perkier breast by doing so. When lifting the breast this will allow me to create a better shape and better even sizing with the implants.
You are not overreacting. Breast augmentation is as much about feeling confident in your body as it is about technical results. If your expectations were clear and your surgeon hasn’t delivered or supported you in follow-up, it’s entirely fair to pursue better care. I would recommend getting a second consult with a board-certified plastic surgeon.

I recommend explantation and breast lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated 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 if not injured during your previous surgery.

Best Wishes,

Gary Horndeski, M.D.

It is important to remember "sisters not twins."

Correcting asymmetry is challenging. Surgical planning is to a certain extent a process of trial and error.

Based upon your photos, there is some degree of persistent asymmetry (left larger than right) However, there are options for improvement. The decision that must be made is which side is preferred. The left side can be reduced or the right side upsized.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Asymmetry of the breasts to at least some degree is very common. Unfortunately breasts don't come with volume labels so when trying to correct size asymmetry you try to get as close as possible. There are a few ways to address it. One is to downsize the larger breast so that it is more in line with the smaller breast. Another way is to use differently size implants. Based on the submitted photo you would have the best result from a breast lift to correct shape and then implants to add desired volume.