Hi Rachrach.
Thank you for posting your enquiry and photos.
You have quite marked breast asymmetry and a degree of ptosis (droopy). You will not get a satisfactory result in my mind with implants alone, even if using implants of different volumes. Your breasts will need both volume equalization as well as reshaping. Improving the shape of the breasts will involve adjustments of the nipple position and breast tissue, and this will incur scars on the breasts. I think the best approach for you will involve both implants as well as a lift, whether this be done in one stage or separated into two.
All the very best.
Dr Ray GohValley Plastic Surgery