This 32 year old woman with one child presents with slight breast asymmetry and involutional changes, including loss of volume and diminished upper pole fullness. She had a breast augmentation through inferior periareolar incisions with insertion of 325 cc silicone gel filled Siltex (textured) breast implants in the subglandular position. Her postoperative result is seen at three months. The patient has much improved symmetry, much better upper pole fullness, improved cleavage. Her scars are healing well and will continue to fade over time.