This patient had a left chest wall, which was much smaller than her right chest wall. She also wanted large implants. Dr. Hughes was able to balance these two items to produce a chest wall and breasts, which appear to be the same width on both sides. These differences in anatomy can be very difficult to camouflage, but Dr. Hughes has extensive experience with all types of breast asymmetry. This patient had a transumbilical augmentation with 425 ml saline implants. Once again, the benefit is no noticeable scars.