This is a 38 year old white female. She is 5’3” and 129lbs. She has had one child, but did not breastfeed. She had a moderate degree tuberous component with some inferior constriction and some slight asymmetry. Her areola were also larger than her desire. She initially did not want to be much larger than her present size, but after external sizing preoperatively she chose a 350cc moderate plus smooth silicone implant. She underwent the standard tuberous approach with the release of the lower pole, dual-plane augmentation and periareolar mastopexy. Photos obtained at two weeks, upon her return from out of town show that the breasts are healing nicely and her tuberous situation has been well corrected. She does feel that she’s larger than she ultimately wished and secondarily a smaller implant can easily replace her present 350cc’s.