How to correct uneven breasts? 21 years old. (photos)

You have clearly been living with this difficult situation since early adolescence and although very common and recognized amongst plastic surgeons, pediatricians, and gyn's, this is less understood and recognized by patients. Please know that you are not alone, and you can be helped. Your right breast has simply underdeveloped and at age 21 we can fully expect that this situation is stable and unlikely to change without surgery. 
During a face to face consultation with an experienced board certified plastic surgeon all of your options can and will be reviewed. If you are happy with your left breast and would like the right breast to be as close as possible to your left breast, you will almost certainly require the placement of a tissue expander on your right side to get the skin stretched adequately to allow for a proper implant placement. If you feel you would like your left breast to be a bit smaller, it is possible that a small reduction can be performed on the left breast with a one stage augmentation of your right. Your right side also has a tuberous breast deformity that would require a correction of the protruding subareolar tissue with a circumareolar mastopexy. 
There are many excellent plastic surgeons with whom you can consult. do your research, be open to the idea of more than one consultation, review before and after galleries, and find the plastic surgeon with whom you feel confident. In severe cases such as yours, sometimes the insurance company will consider this "medically necessary" and almost in the "reconstructive" realm rather than cosmetic. That would be up to your plastic surgeon and his or her staff to try to get this approved by your insurance company. 
Best of luck to you. 

Due to the significant amount of asymmetry, this is not an easy case.  Also, it appears that you may be tuberous on the right side which makes this even more challenging. Although your best approach is to meet with a Board Certified Plastic Surgeon in person, from the photos I would recommend the following:Peri-areolar sub muscular augmentation on the right side with possible scoring of the lower pole to allow for glandular releaseBreast lift on the left side to raise the nipple position and adjust the breast volume upwards to match the new breast on the right.  Keep in mind that it may take another surgery to create even more optimal symmetry since your breasts may continue to grow and change even after surgery.I hope that helps and wish you the very best!Gregory A Buford MD FACSBoard Certified Plastic Surgeon and Author 

Skelley3663.  So sorry you have dealt with this for so long!!  Your condition is very fixable with a small reduction on the left side and breast augmentation on the right. Be sure to consult with a board certified plastic surgeon with lots of experience with breast surgery.  Good luck!

In person exam is essential. Based on your photos- you have several options, such as: 1) Augmentation of the smaller breast with extra high profile implant 2) Reduction/lift-on the left-- implant -rightIn my opinion- you can achieve a better symmetry with option 2Be sure to seek an experienced Board Certified PS for in person exam

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  With that
being said, based on your photographs, the best shape and contour could be
achieved with an implant on your right breast and a breast lift/reduction of your left breast.  The size, profile, and shape of
the implant is based on your desired breast size/shape, your chest wall
measurements, and soft tissue quality.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   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.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Dear skelley3663,based on your photos, you have a severe breasts asymmetry. You have a couple of options. One of them is to leave your larger breast as it is and to use implants to increase the smaller one. The second opinion is to reduce the bigger one and to use breast implant for the smaller one. I would suggest you to consult a board-certified plastic surgeon.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

Thank you for your question regarding options for improving your symmetry.  You have several good choices.  First, you can enhance your smaller side and leave the larger side alone.  If your larger side is too large for you or too low, it can be reduced and your smaller side enlarged.  Often it is most effective to meet in the middle so that your breasts fit your frame nicely.  I would recommend meeting with a board certified plastic surgeon with expertise in cosmetic breast surgery for a consultation.  Best wishes!

Best advice is to obtain a face to face consultation with a  board certified plastic surgeon near you. They can examine you, then discuss treatment options. These would include inserting an implant into the right breast and leaving alone or doing something to the left as well.

Your unevenness can be improved with a breast implant on the smaller side. If you are happy with your left breast, nothing on that side would be needed. Sometimes a second operation might be needed if the size you desire is more than what your frame can accommodate with the first surgery. You should also know that your surgical results could change in the future with pregnancy and/or a significant weight change. An in-person consultation with a plastic surgeon to discuss your goals, be measured, and see before and after photos of women similar to you would greatly assist you in achieving your goal. To see pictures and surgical results of women similar to you, click on the link below. Hope this information is helpful and reassuring.Dr. Ted EisenbergBoard-Certified Plastic Surgeon & Author

The asymmetry of your breasts is uncommon, but not rare, and most experienced plastic surgeons have treated patients like yourself. You will need an implant in the right breast. For the best symmetry, you will need an uplift of your left breast as well because your left nipple is lower than your right nipple. Implanted breasts do not look entirely like natural breasts, so you may also need a small implant in your left side.The above is a simplification of treating your issue. You must see an experienced, board certified plastic surgeon for a treatment plan. Various implant sizes and procedures will be discussed with you by your PS.Thank you for your question and photos, and best of luck to you.