This 21-year-old female is a good example that it is still possible to obtain a very natural result using saline implants and the challenge of a wider space in the cleavage area. She has a slight outward orientation with very little natural cleavage. By not over dissecting the lateral pocket in patients like this, a balanced breast can still be achieved. We placed Allergan style 68MP Saline implants through the under arm using the endoscope 390cc filled to 420cc each side.