This is a 32 year old healthy nurse. She is 5’3” and 115lbs. Her bra size was a 32A with mild asymmetry. The left breast was somewhat fuller than the right with a small amount of glandular ptosis. She had two children and did breast feed for approximately 16 months. Her desire was to be in that full C-D range and we discussed differential breast augmentation at great length. External sizing was preformed to 500cc, as well as a 3D evaluation. She underwent a bilateral dual plane differential augmentation utilizing a 550cc high profile silicone implant on the right and 500cc implant on the left. Her postoperative course was unremarkable. Photos obtained at three months demonstrate that she has healed beautifully. The breasts are symmetric, full and very natural in appearance. She has achieved her large desired size without looking abnormal. She is back to all normal activities and is quite pleased.