Breast Augmentation with Fat Transfer. Can I get 275cc on my left and 325cc on my right? (Photo)

You can certainly replace with smaller implants and compensate with fat grafts .On the lateral view you are sagging a little and may want to consider an internal breast lift with absorbable mesh

Hello,
And thank you for the question and the photos.
Following removal of breast implants without replacement, a patient may choose one of two options: do nothing and see how much the skin retracts or undergo fat transfer to the breasts at the same time.
Fat transfer is usually done through tiny incisions with minimal scarring and often more than one session is necessary to achieve the desired results. It also allows improvement of contour in the areas where the liposuction is performed in order to harvest the fat for transfer.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast surgeries to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
I hope this helps.
Best, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship TrainedBoard Certified Plastic Surgeon

Your breasts are low on the chest wall and widely separated. I recommend explantation and a 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. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.