Want Implants but I have Inverted Nipples and the Areolas are Asymmetrical in Size, Options?

You should have  a periareola lift and reduction to match the two sides.  the volume difference can be adjusted with a reduction of the one side and or two different implants..  the nipple inversion can be corrected surgically with or without the addtiion of fillers

Hi and thank you for your question.  Ideally I would need pictures or more information in order to address your specific concerns.  
For asymmetry, you have several options.  One is to use slightly different size implants if the asymmetry is not to severe.  Another option is a mastopexy (breast lift) on the left side.  You mentioned that the left breast and areola are bigger.  If the nipple is lower on the left as well, a lift can help with those problems.

Finally, the inverted nipple may sometime improve or correct with implants so I would wait and if it is not better, it can be fixed as a second surgery, usually under local anesthesia.

Regarding breast size, you would need to discuss that with your Plastic Surgeon and see if that size is appropriate for your chest measures. 

Nipple inversion is not uncommon. Sometimes it will improve slightly with an implant alone, but usually a special procedure is needed involving release of the tethered tissues holding the nipple down and rearranging the tissue with local flaps to support the released nipple. The problem can return.

Regarding your breast asymmetry there are options including different sized implants to compensate and for the areolar asymmetry a minor mastopexy can be considered.

It is important to remember that some degree of asymmetry is quite normal and despite the best attempts to correct your asymmetry, complete correction is elusive.

Be sure to discuss all your issues with your surgeon so that you feel comfortable.

Good luck.

Your question is difficult to answer without undergoing a thorough examination as there are many variables to sort out in order to achieve a symmetrical outcome. Regarding the inverted nipple: first step is to determine if this is a long standing inverted nipple with foreshortened ducts or a recent onset.  Breast masses below the nipple can lead to a unilateral inverted nipple, so you will want to sort this out first. Secondly, there are a variety of reliable techniques for release of the inverted nipple, but functionality of the nipple is often lost so breast feeding will likely be limited.  Techniques for areola reduction are well described as well and often used to create symmetry.  If you have a tuberous breast or restrictive breast, creating perfect symmetry may be more challenging and may require a few steps spaced over a period of time. Best of luck

Depending upon the extent of your inversion, will determine what is the best treatment of your nipple inversion.  Asymmmetry of the areolas can also be adjusted during surgery or even after as a secondary procedure.