This is a 34 year old white female who is a nonsmoker. She is 5’ 6”, 165 lbs. Her bra size si a 36A with mild asymmetry (re: left breast = slightly smaller than right), mild tuberous deformity and mild ptosis (droop). She did not want to be significantly larger after surgery, but rather more natural and perky in both shape and size. In order to achieve her desired outcome and correct the tuberous deformity, she underwent a biplanar augmentation utilizing 300cc moderate plus profile smooth silicone implant and a periareolar mastopexy (breast lift). Her postoperative course was unremarkable (re: complication free) and photos taken 4 months after surgery show beautiful, tear-drop shaped breasts. She has a clearly defined lower pole and the nipple areolas now point straight ahead instead of down as they did before surgery. And while the final breast shape is close to being realized and the patient is back to all normal activities, the incision scars will continue to fade over the next 6 to 8 months. The patient is delighted with her result and the increase in confidence achieved.