This is a 26 year old white female who is 5’ 6” 146lbs who is very active. Her bra size is a 34 A and she wished to increase to a small C cup range. Examination showed a base width of 13.5 cm but she had a poorly formed lower pole which needed to be addressed. In order to achieve her desired result she underwent a bi-planer augmentation mammoplasty releasing the lower pole and lowering the inframammary pole distance. Utilizing a 375 cc moderate plus smooth silicone prosthesis. Her postoperative course was uneventful. Two months postoperatively her breasts have healed nicely. They are soft and natural with marked improvement in her inferior pole volume. She is back to her normal workout routine and quite pleased with her results.