Would a bilateral breast lift correct asymmetry from previous unilateral lift? (photos)

All breasts are different right to left before and after any surgery.

Size, shape, fold, chest wall, nipple position, etc will never be 100%

The smaller side seems ideal- it would be much easier to match the larger side to it and get best symmetry as opposed to operating on both breasts.

The larger side needs to be reshaped and nipple repositioned to match better.

An exam and consultation with a /your plastic surgeon is recommended to discuss your options and expectations.

Dear bellaluna123,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

A revision would help you to improve the asymmetry in volume, shape, and areola size. Please be aware that perfect symmetry is not a realistic goal from surgery as each breast will be slightly unique from the other. I encourage you to visit with a few board certified plastic surgeons to listen to varying opinions.

I would agree that matching the scar patterns would improve the symmetry and areolar size/shape.
The right side appears larger - maybe that needs a small reduction.
If you're happy with the shape/size of the left then it's not unreasonable to leave that one alone.
Maybe consider a 2nd opinion if you've undergone 3x procedures with the same surgeon and you're not achieving your goals or reasonable symmetry.

Thank you for your photos. Remeasuring the dimensions of your breast, such as sternal notch to nipple distance and nipple to inframammary fold distance, would show whether these distances are equal as possible or whether trimming additional skin or elevating your areola could benefit your breast shape and appearance. If your “skin envelope” is essentially the same and the volume within is nearly the same, your breast appearance should be as close to symmetry as possible. Best wishes.

It seems you should sit down with your plastic surgeon and discuss your concerns about the different aspects of your present situation. Having bilateral surgery may be a good idea if your surgeon understands your desires and determines whether they can surgically approach your expectations.