Breast Augmentation 11

This is a 23-year-old female who wishes to have breast augmentation.  She has a large A, small B cup breasts.  She is 5 feet 7 inches and 115 pounds.  The left rib cage projects outward which makes the left inframammary fold slightly higher, and the left breast is slightly smaller.  The patient has been sized originally with 350 cc and 375 cc implants.  She then came in and tried on 400 cc implants on the morning of surgery.  We have discussed again.  She does have prominent shoulders.