To make an accurate assessment regarding the outcome of any plastic surgery procedure, we generally need to see a complete set of proper before and after pictures. If you don’t have before, and after pictures, then ask your surgeon to forward the pictures they took. Understanding what you look like before the operation would help us understand the outcome a little bit better. You can definitely have Your implants reduced. Your current implants look like they are bigger than the natural diameter of your breast. Some women are OK with somewhat fake look the volume they desire. If you feel like your breast are too big then I see no reason why you shouldn’t drop down in size a bit. Sometimes decisions regarding breast symmetry is done in the operating room. Each plastic surgeon will have their own way of doing this in a perfect world. This would include clear and consistent communication during the consultation. Personally, I would probably not commit to a specific size difference, but would request , the authority to make the decision during surgery using temporary sizers. I’m sure your surgeon was aiming to achieve ideal symmetry in her decision in using the implants you currently have. Put silicon implants decides is predetermined and surgeons sometimes have to make decisions regarding quantum steps and increased size. With sailing implants, we can adjust more carefully because we end up filling the implants and can make very small changes. Some surgeons have access to a complete inventory of every single implant size available during surgery and some surgeons need to order specific implants for the procedure. Symmetry sizing is always a little easier with saline implants. Perhaps she overshot slightly but at the same time 25 mL may not have been sufficient to correct for your baseline asymmetry. Without seeing before pictures, we don’t have a baseline to go by.I’m going to assume that the right side has the bigger implant and that your left side appeared slightly larger to start with. Breast asymmetry is fairly normal on most individuals. The left breast typically sits slightly higher on the chest wall on both men and women. Maintaining natural asymmetry is not wrong and neither is attempting to correct for it. I’m quite certain your surgeon had your best interest in mind when making her decisions. This is true regardless of the results. I think all of us have been in this situation in some form at some point during our careers. Breast augmentation surgery has a fairly high revision rate. This often includes adjustment of implant size. What patients look like immediately during or after surgery laying on their back is sometimes different than what the outcome looks like months later in an upright standing position. Go easy on your provider. Other than slight volume asymmetry, the outcome looks rather good despite the implants being a bit on the large side if the goal was to maintain a natural breast appearance. Implant envy is a very real thing. Anytime, we use excessively large implants that go beyond the natural diameter of the breast we increase the chance of undesirable side effects, complications and need for revision surgery. Follow up with your provider and ask if she will do a revision for you. I seen no indication for needing a breast lift. Best, Mats Hagstrom MD