This is a 40 year old white female. She is 5’9” and 128lbs. She has had no previous surgery. She has had two children and did breast feed. Her bra size was a 32B and her desire was to be in the full C range. She had some asymmetry; the left breast was slightly smaller and sat approximately 1.0cm higher. After discussing subpectoral augmentation at length and doing 3D evaluation she chose a 375cc moderate plus smooth silicone implant for the left, which was slightly smaller and a 350cc for the right with the intention of lowering the left inframammary fold approximately 1.0cm. She underwent an uncomplicated subpectoral augmentation. Her postoperative course was uneventful. Photos obtained at three months show that the breasts have settled in nicely. She has achieved her desired size and shape and she has excellent symmetry both in volume and positioning of the inframammary fold. She is back to all normal activities and is quite pleased that she underwent her surgical procedure.