Is there any other solution besides Implants

   Implants can certainly be avoided in cases of breast asymmetry.  The larger breast can be reduced, while lifting both breasts.

The optimal solution for you is a new technique called The Mini Ultimate Breast Lift.  Using only a circumareola incision it is possible to reduce the size of your areolas, reshape your breast, elevate them higher on the chest wall and move them more medial to increase cleavage.  At the same time, your larger breast can be reduced for a more accurate match.  This technique avoids implants, there are no vertical incisions and the results are natural.  I do not recommend fat injection because it is still experimental.  The Mini Ultimate Breast Lift is an all natural procedure with no foreign bodies and no injections.

Best Wishes,

Gary Horndeski, M.D.

Judging from your photo, it seems you do have a variation of tuberous breast deformity, which is often accompanied by a significant difference in size between the two breasts.  The standard approach usually includes various types of breast lifts to lift and reshape both breasts, sometimes a different technique for each breast.  The areolae can be reduced, lifted, and centered nicely within each breast.  If you like the size of your smaller breast, then the other one can be reduced to match, and no implants are necessary.  If, however, you want one breast enlarged to match the other, then you must have a breast implant placed unless you choose to have a series of fat grafting procedures.  This process is still evolving at present, and the number of doctors enlarging breasts via fat grafting is still relatively small.  Of course, if you want both breasts enlarged, then you need to consider either implants or fat grafting for both.

Thank you for the photo and the history you provided. Yes, you have tuberous breasts with significant asymmetry.  This is something I see regularly. You will first need an in-person consultation with a BC PS and surgically probably breast lifts (both sides) and either a small implant on the smaller breast or a reduction of the larger breast, depending on which breast size you want to match.  Best of luck to you.

Yes, you do have quite severe asymmetry.  First, you need bilateral vertical breast lifts.  I almost never do it on just one side because the result will look better and more symmetrical if the procedure is done on both sides (so your areolar borders match - it is impossible to match the natural fade-out of a nonoperated areola).  Secondly, I would recommend simultaneous implants (you can have saline implants) to help round out your breasts and restore upper pole fullness that you will like and should have, particularly at 19 years old.  I find my best results in correcting asymmetry come from doing both procedures in combination (having all my tools at my disposal).  Never mind "natural" breast augmentation or fat transfer - you are likely to be disappointed with these options.  I've attached a link so you can view results in women with asymmetry (check out patients R.Z. and N.B.)  You can change your breasts from a source of self-consciousness to a source of pride!