4 months post op asymmetrical (Photo)

Hello, my name is Dr Igor Burko and I am a plastic surgeon at SY Aesthetics in NYC. Firstly, no two breasts are ever exactly the same, there will always be mild asymmetries.
I would wait one full year to see how both implants continue to settle prior to making any decision.
I think you have a nice result and each side implants/breast will heal and settle differently.

Based on the photo it appears the asymmetry that is present is mild. You may notice some minimal improvement over time as things soften and stretch. Unless it is particularly bothersome or the asymmetry worsens, it doesn't appear that a revision would be recommended.

Dear Creative764023,
I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the early stages of the healing process.You will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery