Had surgery 2 years ago, right breast is slightly rounder then my left. Options?

Dear mkslddnc,
I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Your implants are larger than they should be. Your breasts are wider than the chest wall and are mechanically unstable. I recommend explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Thanks for your pictures and questions. Some additional history and details might be helpful here to determine the best course of action. Has there always been this asymmetry since surgery or has it developed recently? How did things look before surgery? Was the surgery two years ago simply a primary augmentation, or was it a revision of a prior surgery? Are the implants the same on both sides? Is there any firmness to the implants on either side? Some of these additional details will help aid the discussion. If things used to look perfect after surgery and only recently started to change, then there might be something going on with the left side implant such as a rupture or capsular contracture that is changing the interaction between the implant and the overlying skin envelope leading to the difference. If it has always been this way since surgery (or maybe even before), then there may be some differences in baseline anatomy or there might be difference in the implant pocket creation of implant position over time. I would recommend an in-person exam and discussion of some of these details with a board certified plastic surgeon to help determine the best course of action moving forward.
Best of luck!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

First, your implants are too large for your frame and tissue. You need to go down in size. Second, a lift can be done to repair the inferior fold.

Based on your nicely posted photos I see the question they symmetry. The right breast is slightly larger than left breast and sitting on the chest wall in a better position. The left breast slightly smaller than right breast with nipple areola complex higher and an inferior double bubble effect. Best to virtual consult with or in person consult with if you were in South Florida. One to two operations may be needed to correct the symmetry. Stage one operation would be a fee of $6000-$8000. Again, best of virtual consult