This is a 26 y.o. female 510 and 155 lbs who present with tubular breast. She had a peri-areolar lift on the left breast and breast augmentation through an areola incision with sub-muscular implant placement. The breast implants are 330 cc on the left and 400 cc on the right. The breast implants are smooth round silicone implants. She is seen 6 months after surgery. Her incision is well healed. Her cup size went from 38A/B to 38D.