Is it worth doing a revision for 35cc? My right breast is 360, left is 405. I feel the left needs to be smaller implant. (photo)

Hello,Your asymmetry has less to do with volume differences, and more to do with implant position differences. Your left implant is lower, which might have been the cause for filling such a large difference in volume based on the minimal discrepancy in initial breast size. Adding saline will not make a difference, and you will need a much more complex surgery to adjust implant pocket (s), after waiting at least another 2 to 3 months. If your doctor is not an ABPS certified/ASAPS member surgeon, you should visit a few who are expert in revision surgery.  You should also consider getting silicone gel implant as well. Best of luck!

I am sorry to hear about your concerns after breast augmentation surgery. Best to continue to be patient and evaluate the result of the procedure performed several months from now;  hopefully, breast symmetry will improve as the breast implants fully settle. If ongoing asymmetry is of concern long term,  whether or not revisionary breast surgery will be "worth it" will depend mainly on how much the asymmetry concerns you. If your concern is minimal ( once in a rare while), then revisionary surgery is probably not worth the potential risks associated with additional surgery. If, on the other hand, the asymmetry concerns you on a daily basis, then the revisionary surgery will likely be worth the effort.   Keep in mind that revisionary breast surgery may not just be a matter breast implant volume but breast implant capsule adjustment as well. Best wishes.

It is very difficult to determine the exact size and shape implant you will require to best match your ideal breast image without an examination by a board certified plastic surgeon. Not just any board certified plastic surgeon, but one with many years of frequently performing breast augmentation surgery including different approaches, techniques and implant choices. This is because several measurements not to mention your breast characteristics are needed to determine the optimal implant size to obtain your goals. Without knowing these dimensions it would be difficult to make this determination. For example, the existing base width of your breast will determine, in many cases, the maximal volume per implant profile that you can accommodate. To illustrate; a 100 cc difference may make a significant difference with a narrow base width breast, but much less of a difference if you have a wide chest wall and wide breast “foot print”. Therefore, just because your friend may have a great result with let’s say a 350 cc implant to make her go from a “A” cup to a “C” cup size does not mean that you will have the same result with the same size implant. . Further simply placing implants in a bra to determine the size best for you is not always accurate as the bra often distorts the size, is dependent on the pressure the bra places plus the implant is outside your breast and not under it among other variables. Computer software morphing programs that automatically determine the best implant size can be helpful in some but not all cases (e.g. doesn’t work well in my experience with existing implants, sagging or asymmetric breasts). Using “want to be” photos however are useful if simply provided to the surgeon as I will further explain in the below link.