Breast augmentation; Is a 35 ml difference noticeable? (Photo)

The volume difference is relatively minor. The intentions of using different size implants are good. But, in a slender person like you, that difference is likely to become noticeable with time. Best to sue the same size implants.

Your areolas are at very different levels. Print this photo out, and draw horizontal lines through the nipples across the chest, and you'll see the significant height difference between the two sides. When you do an augmentation, this difference in areola height will become exaggerated, and more noticeable. Also, the larger areola is likely to expand proportionally more than the smaller areola.

Some options you have:

1. Don't do an augmentation, may be until after having children, and breastfeeding, if that is a consideration.
2. Have an augmentation with the same size implants, knowing that you will have symmetric breast mounds, but areolas at noticeably different levels.
3. Consider a periareolar lift (permanent soft Gortex suture paced) to make the areola the same size, and improve the position for better asymmetry.

Dr. B.

Dear Intuitive895363,
based on your photos, it looks like you have minor asymmetry so different size implants can help improve this. During the surgery your surgeon can use sizers to make sure that your asymmetry is resolved.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery