This is a healthy 22 year old white female. She is 5’7” and 137lbs. She is a nurse. She had not had any previous surgeries. Her bra size was a 32A with asymmetry. She has had no children and only wished to increase her cup size to the B range. Examination showed mild to moderate tubular breast deformity with the left breast being a bit larger than the right by approximately 25cc. Her base width was only 11.5cm. In order to correct her deformity she underwent a bilateral differential dual plane augmentation with 300cc Mentor moderate plus smooth silicone implant on the right and a 275cc implant on the left and a periareolar mastopexy to raise the left side a bit more. Her postoperative course was uneventful. Photos obtained at four months show that she has achieved her desired results. The breasts are fuller without being overly large. She’s had excellent correction of the tuberous deformity with a normal inferior pole. She is back to all normal activity and now can wear any type of clothing she desires.