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

A volume difference of 35cc will not be visibly noticeable, however it may help to address the size asymmetry and may fit better in the pocket. You are correct in that one of your breasts does sit higher than the other. If this is not addressed during surgery this same asymmetry will be present afterward. Using differently sized implants will not correct it.

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon' s experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

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.