This case involves a 35-year-old female who underwent breast augmentation and a tummy tuck. She wanted her tummy flatter without the extra skin all around her belly button. She wanted an improvement in her cleavage - she had been both small breasted and asymmetric since she could remember. Finally after having all her children she found board-certified Plastic Surgeon Dr. Matthew Isakson to discuss her concerns. After discussing options to achieve breast symmetry - upper pole symmetry with an implant and symmetric nipple position with asymmetric breast lift scars - she decided to improve her cleavage without worrying about her nipple asymmetry. The breast augmentation was performed using 360cc silicone gel implants from Allergan, placed submuscularly through inframammary incisions and she loves how she looks in a bikini! Eight months post-operation, the results exhibit enhanced breast volume and contour. Concurrently, the tummy tuck procedure has resulted in a more streamlined abdominal profile.