This set of breast augmentation before and after photos features a 36 year old woman (5'2", 130 lbs) who had ptotic (droopy) tubular breasts with larger nipple areola and herniation of the breast tissue into the areola (aka puffy nipples). Her bra size was roughly a 34B (though achieving proper support or fit proved difficult due to the tubular nature of her breasts). She expressed a desire to have round, perky breasts after surgery that fit her frame - not too large, but not too small either. To achieve her desired results and correct her tubular breast deformity, I performed a dual plane augmentation through a periareolar incision using 375cc silicone implants and a periareolar mastopexy with debaulking of the areola. Photos taken 3 months after surgery show round, perky and naturally shaped breasts (particularly medially) with smaller areola. The incisions are healing nicely and will continue to fade and blend with time. The patient has no trouble filling out a 34C cup bra, feels significantly more comfortable and confident and is overjoyed with the result of her tubular breast correction surgery.