This 32 year old woman underwent breast augmentation using saline filled breast inflated to a volume of 195 cc’s and placed partially beneath the pectoralis muscle. 

The individual has a mild pectus excavatum, a condition in which a person's breastbone is sunken into the chest.  She also has a tendency to stand in a slightly kyphotic position, which means that her upper back is rounded and her head is relatively forward.  

Obtaining a natural looking result in a patient who has pectus excavatum and postural abnormalities, as this individual has, can be challenging but is certainly possible.

In the case, the implants were inserted through a 3 cm incision at the lower border of the areola, which is the darker skin surrounding the nipple.  These incisions typically heal quite well and can be difficult to see.

This case depicts a 24 year old woman with a tuberous breast deformity who underwent breast augmentation with 330 cc smooth, round, saline implants placed beneath the pectoralis muscles via a periareolar approach.

Her areolas were reduced simultaneously, necessitating an incision completely around the perimeter of the areola.The post-operative photographs depict her appearance at two weeks after surgery.