20-year-old presenting with significant breast asymmetry wanting to be a D cup bilaterally and gain symmetry. I diagnosed her with tuberous breast deformity. First stage = bilateral tissue expander placement and peri-areolar lift. Photo: 2 months after second stage expander/implant exchange (R breast: 385cc full projection silicone implant, L breast: 605cc full projection silicone implant) performed by Dr. Dumestre.