32 year old female who presents with moderate deflation of breast volume after weight loss. She is also unhappy about the significant asymmetry and size difference of her breasts, especially the asymmetry of the nipple and areola. She desires a moderate improvement to the volume and fullness of her breasts. A breast augmentation with 255cc full profile silicone implants were place along with a circum-areolar lift to improve the shape of the breast, position and size of the nipple. Results show an improvement in breast dullness, perkiness, breast shape, and nipple position as well as breast size.