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.