This is a 36 years old female who presented to Dr. Siamak Agha for a scarless breast augmentation procedure. On examination, the patient was found to have vertebral scoliosis as well as minor breast asymmetries. The left nipple and breast were found to be slightly lower than the right breast. The patient underwent a transumbilical (scarless) breast augmentation with use of 400 cc saline implants. Both breast implants were placed in a submuscular plane. Post-operative breast augmentation photos were taken at 6 months.