High-low variations in areolar positions or asymmetries can range from subtle to dramatic areolar discrepancies. The subtle variations may go unnoticed until after the breast implant has been placed. The high low variations can be magnified after breast augmentation plastic surgery. It is important to note this variation beforehand so the expectation level can be adjusted. Realistic expectations yield the happiest women. Sometimes this asymmetry is combined with inframammary fold asymmetries as well.