A 24-year-old lady requested breast augmentation from a 34B to a Full D cup for her 5 feet 4 inches and 115 pounds body. Her hopes were to achieve a proportional result and improve the asymmetry on the right breast which was smaller than the left. She wanted the most natural looking result, and she chose silicone breast implants for that reason. In addition, she wanted to reduce any loose skin on the breasts caused by breast feeding. Using the nipple incision, we placed a 475 cc Moderate Plus silicone MemoryGel® breast implant on the left and a 500 cc Moderate Plus silicone MemoryGel® breast implant on the right and gave her a nipple lift. Six months later, she now wears a full D cup.