Uneven breasts & considering breast fat transfer on one of them? (Photo)

I can see the significant asymmetry and why it is bothersome to you. However, by adding volume to the smaller, tighter right breast, and removing volume from the left larger, looser breast can exacerbate the asymmetry. A better plan may be to perform a vertical, small reduction to the left breast which will more accurately treat the underlying issue. Thank you for sharing.

Hello,
Thank you for the question and the photo.
Fat transfer to the smaller breast would be a great option for you to help increase the breast volume and improve symmetry. This is done usually through tiny incisions which heal with minimal scarring.
Breast lipofilling using fat grafting may require a few sessions (surgeries) to achieve a fuller cleavage, which is an important consideration for many patients.
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Breast Surgeries in order to discuss your goals and concerns for the best cosmetic results. 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.
Best wishes and good luck.
Best regards,
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

If you prefer the smaller breast, just have a small reduction on the larger side. You stated it was heavy and saggy. Only a lift will correct sagging.