This is a 22 years old female presented to Dr. Siamak Agha for a scarless TUBA breast augmentation. On examination, the patient was found to have breast asymmetry with the right breast being slightly larger than the left, and slightly lower on the chest than the left breast. The patient underwent a transumbilical breast augmentation with use of 375 cc saline implants. Both breast implants were placed in a submuscular plane. This operation reduced sagging in the patient’s right breast, allowing both of her breasts to fall at the same place on her chest. The size of the patient’s breasts was also corrected, making her chest symmetrical and proportioned. Reducing the sagging and proportioning her breasts gave her more youthful appearance and corrected the imbalance in the patient’s torso. Fullness was also added to the patient’s breasts from the implants, giving the patient the fuller, curvier appearance that she desired. The patient was also able to receive a natural look to her breasts, because the TUBA breast augmentation allows the patient to have no scarring after her operation. The patient was ultimately left with symmetrical, youthful, and natural looking breasts. Post-operative breast augmentation photos were taken at 12 months.