This is a 26 year old black female in good health. She is 5’ 7” 130 lbs who recently lost 15 lbs and is a figure competitor. She was an out of town patient and our initial consultation was by phone with photos that she sent via email. Her desire was to increase her breast size to the D range which would require a biplanar approach because her small amount of glandular ptosis. Prior to her procedure we did external sizing. She liked the appearance that 475 cc gave her. She underwent the biplanar augmentation and had an uneventful postoperative course. Two months later the breasts have settled in nicely. She has achieved her desired fill and look. She will now once more resume her body building activities.