Been to a few consults, should I do implants or fat transfer? (photos)

I highly recommend using implants as the volume retention is far more predictable than fat grafting. Depending on the technique, quality of fat, and your own body...anywhere from only 30-60% will survive. This can create problems with predictable volume and outcomes. You may need a lift on the right side as it is larger and much lower than the left side. You should see a board-eligible or board-certified plastic surgeon with extensive training in aesthetic plastic surgery of the breast.

You will have a more predictable outcome from an implant. This will address volume discrepancies. With fat grafting there is a degree of uncertainty as to the amount of fat that will "take". It appears you may need a lift to address to make the nipples even.