This is a 28 year old white female. She is 5’4” and 145lbs. She has not had any children. Her bra size is a 34A with mild tuberous breast deformity, more so on the left side. She has a short nipple to inframammory fold distance and a tight lower pole. We discussed the fact that she would need a classic tuberous breast reconstruction through a periareolar approach, lowering of the crease with a release of the lower pole and a dual plan augmentation with the periareolar mastopexy. External sizing was performed and she decided on a 375cc moderate plus silicone prosthesis. Her surgical procedure and recovery was unremarkable. Photos obtained at two months show that she has had a nice reconstruction. The breasts are full and natural in appearance with a nicely delineated lower pole. The nipple/ areola are in proper position and she has nice cleavage in her clothing which she never had before. She is quite pleased.