Will a second fat transfer help my uneven breasts? (Photo)

Dear biancabumblebee,
fat transfer can help improve slight breast asymmetry. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

If more fat can be transferred to give them a larger size, it depends on whether you have more fat to extract, you should also be aware that not all the fat survives, maximum not 70% is what can stay but it can be even less

In most cases one can achieve about one cup size increase with a fat transfer. For asymmetry, more fat will need to be placed into the smaller side after swelling has subsided, you can expect an average of 1/3 of the transferred fat to be reabsorbed.

You are better off getting implants. Fat does not have enough force (elastic modulus) to enlarge the smaller and tighter breast. Implants do.

You can have additional fat transfer done. Just keep expectations very modest. Or it may not work at all

If you have donor fat, then the transfer can be done again. However, the fat transfer, as you have seen, is not guaranteed for a certain size. Implants can be selected to correct the difference between the breasts and give a more certain increase in size.

The photo is partially covered with cloths and only shows a front view. It appears that the right nipple areolar complex is high on this side versus the left. Fat grafting can equalize cup size but will not adjust the nipple height. It appears that the left NAC needs to be raised. An examination and proper photos are needed to make an accurate plan.

Based on the 1 posted in poor view photo I recommend redo lift on the lower side with added fa grafting under ultrasound guided fat injections to both breasts with liposuction. F33 $10,000. Best to virtual consult with......

To make a quality assessment regarding the outcome of a plastic surgery procedure we generally need to see a complete set of proper before and after pictures. If you don’t have before and after pictures, then ask your surgeon to forward the pictures they took. There are different ways to approach breast asymmetry. Knowing where you started would be helpful in giving suggestions for what to do next.Consider reposting with a complete set of proper before and after pictures.Best,Mats Hagstrom MD