What could/should be done to fix asymmetry, size and placement? (Photo)

Your breast size appears asymmetric now. It is possible with time that if one breast is swollen more than the other symmetry can improve. Otherwise you would require a surgery to even the symmetry and perhaps improve the position of the implants if you desire.

Best to review your before and afters.  There is definitely a size difference and lateral displacement on the right.

I do not agree with your surgeon! You have the typical axillary issues in implant placement. To lateral a dissection, under dissection medially, and poor choice is size asymmetry correction. Only revision surgery can help... 

Sorry to hear about your experience. It is likely that you had asymmetry prior to the surgery as most women do but also that you had some drooping that an implant is just not designed to compensated for, however, the implants may settle and drop further over time. It's still early in your recovery so give it more time - at least 6 months before you consider any other surgeries. Hope this helps and have a wonderful day! Dr. Kayser - St. Clair Shores, MI

Hi there and thanks for your question. Obviously it is very hard to pass judgement from one photo and without a really physical exam. Your breast mounds appear to have been with wide cleavage before surgery and that is going to be difficult to change completely with the augmentation alone. I wonder if you had asymmetry before surgery? You probably would benefit from a lift to improve the symmetry. I suggest to go back and give your plastic surgeon and give him/ her the opportunity to discuss this with you. He or she knows you best and can evaluate the situation in person, and make a good clinical decision. I hope this has helped, good luck.