My nipples go in opposite directions and a deformity on right breast. Is symmetry ever going to be in my future? (Photos)

I am sorry that your results are not 100%. Your before augmentation pictures can be helpful. You do have bottoming out of the left breast implant. Breast pocket revision can help. I offer my patients either fat grafting, going above the muscle or both.

The left breast sits higher on the chest wall than the right side on all people.
Usually, the difference is about half an inch.
This is universal.
It’s the left breast sits half an inch higher on the chest wall than the left nipple should also be half an inch higher than the right side if the breasts have the same shape and size.
Your surgeon lowered the IMF (infra mammary fold) on the left side to make the implants sit evenly on your chest.
This made the nipple sit relatively high on your left breast because the implant is sitting slightly below where it was initially.
When one breast sits higher on the chest wall, the surgeon has to decide if he wants to place the implant centered on the breast, which will leave the implant sitting higher on the left or lower it to try to make the breast look even but then the nipples look uneven.
You can’t have both.
If you want the nipple centered on the breast, then the left implant has to sit higher.
The surgeon can’t raise or lower the position of the breast on your chest wall.
At this point, I don’t see a good need to have a revision.
You can’t really lower the nipple on the left side and raising the implant would probably leave you looking more asymmetrical.
I suppose you could raise the right nipple, but it would then also not be centered on the breast.
All people are a symmetrical.
Symmetry is not something you should expect or that anyone has.
When it comes to breast on both men and women the left is always higher than the right.
On some people do difference is less and on some it’s more.
Other plastic surgeons may have a very different opinions.
I’ve been doing this for a long time.
During my training and my first 10 years of practice, I did not know that the left breast was higher on the chest wall.
After simply studying my patients it became a clear pattern and I now recognize that all people have a left breast that’s higher than the right side.
I wish I could give you a better treatment option, but I don’t think having more surgery is going to get you what you want.
It’s really helpful if surgeons talk about these issues during in person consultations before people have surgery.
That way they understand in advance what the result is going to look like.
Best,
Mats Hagstrom MD