This is a 28 year old Asian female. She is 5’3” and 125lbs. She had one child whom she breast fed. Her bra size was a 32B and she wished to be in the full C cup bra range. Examination showed mild glandular ptosis with the breasts sitting slightly on the chest. She did not wish to have a vertical mastopexy and on exam it was determined that adequate tightening could be achieved with a periareolar technique. After external sizing she chose a 400cc moderate plus implant and underwent an uncomplicated dual-plane augmentation with a periareolar mastopexy. Her postoperative course was likewise uneventful. Photos obtained at two months demonstrate that she has healed nicely. She has achieved her desired size and shape. The periareolar mastopexy is healing quite well and has given satisfactory elevation and tightening to the breast and nipple areola complex. She is quite pleased with her results and has returned to all normal activity.