53 year old woman who presented for breast augmentation. She had existing asymmetry and slight droop of the left breast. Photos show the 3 month post-operative result. Allergan 445 cc moderate profile gel implants were placed in a dual plane submuscular space. She had met other plastic surgeons before surgery and was suggested to have a vertical scar over the breast to tighten the breast and correct the mild droop. Doing a dual plane dissection enabled me to place the implants such that a vertical scar over the breast surface was not required. She was very pleased with the results.