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I have asymmetrical breasts, would you recommend implants or making one breast & nipple smaller?

Thank you for your question.  For the best possible cosmetic, a bilateral augmentation with a peri areolar mastopexy on the left side would be best.  You may need to have a small amount of breast tissue removed on the left side to make the breast more similar in shape.I think you could have a very nice result.  Good luck!