This is a 28 year old healthy white female. She is 5’5” and 132lbs who has had no previous surgery. She does not have any children. Her bra size was a 34A with slight discrepancy between the inframammory fold with the right breast sitting a bit higher. Her desire was to increase her cup size to a small to mid C while maintaining a natural appearance. After 3D evaluation, because of her narrow rib cage a 350cc high profile silicone implant as chosen and she underwent a bilateral subpectoral augmentation. Her postoperative course was uneventful. Photos obtained at two months show that the breasts are healing nicely. She has a fuller, natural appearance. The discrepancy between the inframammory fold has been eliminated and she is back to all normal activity. She is quite pleased with her surgical outcome.