CASE DESCRIPTION: This is a 24-year-old, female resident of Greenbrae, California who presented to the San Francisco office at Union Square for evaluation for bilateral breast augmentation. She is 5 feet 4 inches tall and weighs 125 pounds. She underwent bilateral breast augmentation using Mentor normal-saline breast implants with a base size of 325 ccs inflated up to 380 ccs bilaterally. The surgical approach was a peri-areolar incision with sub muscular placement of the breast implants. The procedure was performed at Marin Cosmetic Surgery Center in Marin County, California. Her size went from an A+ to a C+.