How can uneven nipple height be corrected with implants? (Photo)

The degree of asymmetry that you have is not very pronounced.  The implants will improve the shape of the breasts but not change position of the nipples.  Perfection is not attainable.

You are correct most women have asymmetric breasts but a breast augmentation alone will not correct your nipple asymmetry. Your left breast has more ptosis and skin stretch with more breast tissue in the lower part of that breast so an augmentation just will augment your current breasts. Using different size implants can be beneficial in some cases but this will not give you the 'perfect' breasts. You will be disappointed if perfection is what you seek. I do think you will have a great result with a breast augmentation but a lift would help correct your asymmetry to some degree. Best of luck.

You are right. Everyone has some degree of asymmetry of the breasts especially if one nipple is higher than the other.  You are an excellent candidate for breast implants, but "perfect" symmetry cannot realistically be accomplished.  You will however, get a beautiful result if you look past the fact that one nipple is a little higher than the other.

Thanks for your question and photo.  From what I can see on your photo, you would do very well with a great augmentation alone.  You would still have some minor asymmetries between the two sides which is completely normal.  The only way to try and lift the left side would be through a mastopexy (lift) at the same time.  You appear to have tight skin with nipples in a good position, so this may be difficult at the time of implant placement.  You could consider augmentation with a delayed "crescent" or peri-areolar lift.  No surgeon can guarantee a "perfect" result, so you really need to have an in-depth conversation with your surgeon to avoid disappointment postoperatively.  Good luck.  

Implants alone will not fix the difference in nipple height.  That must be addressed by a breast lift.If it's absolute perfection you seek in your breasts, you are likely to be disappointed with surgery.  If it's a significant improvement, that is a more realistic goal.

I do not believe that anyone will ever have perfect symmetry of their breasts.  The size of your breasts can be adjusted to be closer by using implants of different size.  I am not aware of massage techniques that will move the nipple position.  Breast reshaping (mastopexy) may be necessary with its attendant scars.

You can improve size asymmetry using different sizes of implants, but perfection is rarely obtained. As for the nipple position asymmetry, yours is of such a degree that it will require a lift of the left nipple. This can be done with a circle lift, employing a scar that encircles the areola and is usually difficult to see after healing is complete. Another option is to wait until after breast augmentation surgery alone and see just how much you are bothered by the nipple asymmetry. There is a device called "Refine" that employs barbed sutures to lift the breast with only needle puncture marks to show for it. An option to consider.And, no, massage is not going to lower the left nipple significantly.

surgery is required to make them more level.  Besides the traditional mastopexies, you could consider using barbed sutures that recently arrived on the market for breast issues.  Whether this will hold up over time is the uncertainty.  But their early results are impressive.

You will need to have a nipple lift at the same time as your breast implants to make the horizontal levels of the nipple more symmetric. Breast implants alone will actually make the differences in the nipple levels look worse or more exaggerated.

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