This is a 26 year old white female in good health. She is 5’3”, 100lbs and very petite. She has had no previous surgery nor has she had children. Her bra size was a 32A/AA without ptosis, but she has slight asymmetry of the height of the nipple areola; the right one sitting approximately 1.0cm higher with a slightly longer nipple areola to inframammory fold distance. She wished to be larger but only in the small to mid C cup size range. External sizing and 3D analysis was performed and she chose a 300cc moderate plus smooth silicone prosthesis. She underwent an uncomplicated subpectoral augmentation and her postoperative course was uneventful. Photos obtained at three months show that she has achieved her desired result. The breasts are fuller without being overly large and appear quite natural for her petite body frame. The heights of the nipple areolas have been adjusted and they are more symmetric. She is back to all normal activities and quite pleased with her surgical result