This is a 26 year old woman who has a different appearance of her breasts called a tubular breast shape. Typically a breast has a pyramid shape but some people have breasts that have a shape closer to that of a tube. The appearance of the breast in this situation typically includes some breast tissue pushing against the areola and expanding it, a tight narrow breast base near the chest, and a short distance between the bottom of the areola and the infra-mammary crease. This tubular appearance was improved by performing a breast augmentation to expand the breast base by using a round smooth implant under the breast gland (on top of the muscle) and by performing a complete reduction of the areola skin and pushing the implant away from the areola. The incision goes all the way around the areola.