How can uneven nipple height be corrected without an additional surgery? (Photo)

It is not possible to attain perfection.  You will need to adjust your expectations or you are setting yourself up for disappointment.  Your starting point is excellent.  You should have an excellent result.  Your nipples are going to have the same asymmetry after surgery as they do now.  I would put a small amount of extra volume in your smaller side, but you are not a good candidate for different size implants.

Correction of #asymmetric-breasts and #nipple-positionAsymmetric press may be corrected with implants or possibly even liposuction reduction of one side.The areola position can be corrected at the time of surgery or as a separate procedure under local.

they will still be uneven if only augmented.  To improve the 'levelness' of the nipples, you must have a mastopexy on one side.  In my practice, I suggest having the implants first and making sure my patient is happy with the implant position then I would do the nipple leveling mastopexy in the office under local at considerable savings to my patient.  This provides a more accurate outcome.

Thank you for your photo and questions.  I wish that I had a more encouraging answer for you, but the short answer is no.  Two different sized implants will definitely not correct the existing asymmetry between your breasts.  Without a consultation and physical exam it is impossible to give you a definitive opinion on what would give you the best outcome, but I can comment on the photo that you provided.  Likely you would require a lift on the side that is lower/larger in addition to having 2 different sized implants placed in order to increase your symmetry.  While this would most likely make your breasts much more similar, they will absolutely always be different even with the best surgical outcome possible.  Perfect symmetry is just not possible, I am sorry to say.  I would encourage you to seek an in-depth consultation with a board certified plastic surgeon in your area to discuss your treatment options and realistic goals.  Best wishes!

Implants alone cannot correct the asymmetry. A variation of a lift on the left side would be necessary to get closer to symmetry. It is important to be realistic about the outcome of any surgery and if you really expect the result to be "perfect", I would suggest that you not undergo any surgical procedure because you will ultimately be disappointed, since improvement is possible but perfection is not achievable.Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you what to do surgically without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.Robert Singer, MD FACSLa Jolla, California

I recommend to my patients with asymmetry not use two different sized implants unless absolutely necessary for a major difference. The reason I tell them that is during your life you will likely have pregnancies, weight gains and losses and other changes to your body. If you have two different sized implants, every one of those changes will recreate an asymmetry. I recommend instead that a small liposuction is done on the larger breast in order to use identical implants. In terms of your areola height, a small crescent mastopexy done at the same time as your augmentation adds only a tiny scar and 15-20 minutes.

In order to correct your asymmetry you are going to need a lift on one side. Follow up with your surgeon regarding a comprehensive plan. 

You are starting out with pretty nice breasts to begin with.  The right is smaller and higher.  You will probably need a larger implant on that side.  The left breast is larger and has more skin.  It will probably settle and look natural first.  The right breast because is smaller and needs a larger implant will initially be higher compared to the left.  When the left settles you support it always by wearing a good support bra (not pushup) and keep the bra strap tighter on the left.  The right one because is higher you leave the strap very loose and when it settles like the left you then wear the bra straps the same.  There is asymmetry with your rib cage with the left side looking more prominent compared to the right.  There is no such thing as perfectly symmetrical breasts.  Even ones that look perfectly symmetrical has some minor variations.  To expect "perfect" is an unreasonable expectation that will only lead to dissatisfaction.