This patient is a 30 year old black female from out of town. She is in very good health. Her only pervious surgery was for an excision of a pilonidal cyst. She is 5’1” and 100lbs. Her bra size was a 34A with a significant tuberous deformity. The chest is narrow with a short nipple to inframammary fold distance and pointiness to the nipple areola complex. Her desire was to be in that full B small C cup range. She had seen several other plastic surgeons concerning her desires. After her initial phone consultation she decided to proceed with the tuberous breast correction. This would require a dual-plane augmentation, release of the lower pole and a bilateral periareolar mastopexy. A 300cc moderate plus smooth silicone implant was chosen on her pre-surgical visit. Her postoperative course was uneventful. She returned at two weeks at which point the postoperative photos were obtained. She is healing nicely and back to all normal activity. She is quite pleased with her surgical outcome.