22 year old female who presented to Dr. Siamak Agha for breast augmentation with silicone implants.The patient was a cup size A and wished to be an average B. She also wished to have scars that are hidden in the arm pits. The patient underwent transaxillary breast augmentation through her arm pit with 275 cc Silicone implants that were placed under the chest muscle. Post-operative pictures are taken at 1 year.