This is a 27-year old woman had been considering breast augmentation for some time. In addition to increasing the volume of her A cup breasts, she was also hoping to correct the asymmetry in their size and appearance. She decided to proceed with a transaxillary subpectoral breast augmentation... using saline implants. The high profile style of implant was chosen, and they were filled to different levels to accommodate the asymmetry. The patient had no difficulty during her surgery or post-operative recovery.