This is a 34 year old white female. She is 5’5” and 135lbs. She has had no children and no previous surgery. Her bra size is a 34A without any real volume. The nipple areolas are at slightly different heights. Her base width was 13.5cm. Her desire was to be in the small C cup range and after utilizing external sizing and 3D imagery she chose a 350cc moderate plus smooth silicone prosthesis. Her postoperative course was completely unremarkable and photos obtained at two months show that the breasts are symmetric, round and very natural in appearance. The asymmetry in the nipple areola height has been improved and she is back to all normal activities. She is quite pleased with her surgical outcome.