22 weeks post-op. My breasts look different in size among other problems. What are my options? (photos)

Hello thereYou are still relatively early in your recovery but ultimately it is difficult to comment without seeing you in person and assessing your tissues. You have had top quality implants and given your start off appearance you do not have a bad result at all - it is also quite normal to have asymmetry in healing and indeed with the final result (especially given your initial asymmetry). Please do allow things to settle down for another few months and follow advice but you should probably go back to discuss things with your surgeon. There are two issues here you are suggesting - your symmetry and the position of the implants. I agree that your pre-op photos suggest minimal asymmetry but if the symmetry is a concern now then obviously it would be possible to try and improve this. Whilst you may have wanted a sub muscular pocket pre-operatively, there is also an option to change this too but do discuss this with your surgeon.Good luck!

Dear Kimler,
women’s breasts have some degree of asymmetry. Some may be more noticeable than others. If you have breast asymmetry before breast augmentation surgery, there is a great chance that this will exhibit right after the surgery.If the asymmetry becomes more noticeable after breast augmentation surgery, a revision may be needed to correct the asymmetry. In most cases, the revision involves correction in both breasts. For example, large breasts can be reduced to a more manageable size, but the amount of reduction might differ between each breast if one happens to be naturally larger than the other. The same can be said if a person wants to augment their small breasts to a larger size: one might be augmented more than the other.Also, you should wait until after 6 months when your implants have completely dropped and fluffed into their final position. You should discuss your concerns with your plastic surgeon. Make sure your surgeon understands your goals. 
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

 Many thanks for your questions and for supplying such thorough photographs. It is always difficult to be absolutely certain without examining you in person but, from your photographs, you do look as if your implants are sitting too high. At 22 weeks post-op, I think they're very unlikely to drop significantly and certainly not enough to fill out the lower pole. Looking at your preoperative photographs, I don't think an uplift was absolutely necessary (though it would have been an option) but I think the sub- muscular pockets have been made to high and are not allowing the implants to drop into the empty lower poles. I would also slightly question the use of the sub- muscular pocket in your case. I know plenty of surgeons who put all of their implants underneath the muscle but I really don't think it was necessary in your case and will undoubtedly be contributing to the reluctance of your implants to settle properly. Unfortunately, I think this is going to need revision surgery to correct it and I think you should speak to your surgeon about that.