Age 19, height 5’9″, weight 174 pounds. She was a 34A bra size and felt she was abnormally small breasted for her build. Her goal was to gain volume to better proportion her body. She was not opposed to an artificial look and wanted a larger implant size. She was augmented with 550cc (left breast) and 600cc (right breast) smooth round high profile silicone gel implants placed subpectorally (under the muscle) using a dual plane technique to reduce the risk of a ‘double bubble’ deformity via inframammary incisions. The procedure was performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results shown at 4 months.