Is it reasonable to think that an in-office procedure can correct significant asymmetry after my BA with BL two months ago?

Surgery was just 2 months ago? While remarkable asymmetry probably will not correct with time, you may want to wait a little longer for revision once the scars soften more. Skin only surgery would be fine under local anesthesia. If you are anxious, then you might want to discuss anesthesia with sedation when you undergo revision. Financial cost may be higher. Second opinion with another Board-certified plastic surgeon may reinforce and confirm what will make your result the best it can be. Best of luck.

Breast lifts can definitely have minor revisions performed under local anesthesia in the office.  This will speed your recovery, allow you to drive yourself hhome and save you some money.

 

    Placing two different implant sizes sounds like a great idea, but this inevitably results in two different breast shapes if more than 50 cc or so is the difference between the two volumes.  I do not see any reason why a revision breast lift could not be performed with local anesthesia and oral sedation.  This would depend upon the maneuvers employed and your specific needs.  Kenneth Hughes, MD Los Angeles, CA

Without seeing you or a picture of you, it is hard to tell you specifically what would work best for you or whether an office setting is the best place to do it.  It is not unusual to do minor revisions in the office under local anesthesia.

First, it would be helpful to see your pictures.  You do not need to worry about an office based procedure as many surgeons do perform these.  If your surgeon has been doing this for 30 years, as you say, then he most likely knows what he is talking about.