Age 26, height 5’2″, weight 140 pounds, 3 children. After her last pregnancy, she noticed moderate sagging of her breasts. Her primary goal was to have more attractive breasts that were more full and less “saggy.” Because of her nipple ptosis (droop), she needed to have her nipples repositioned with a lift before she could have an augmentation. Even though her primary goal was additional breast volume, because she had significant breast droop (ptosis), we explained that breast implants needed to wait until the ptosis was corrected with a breast lift. Once healed (typically 2-3 months later) if she still desired more breast volume, we could add implants without adding new scars (using the breast lift scars). She agreed to this staged approach, and proceeded with a mastopexy (breast lift). She later underwent augmentation with 350cc smooth round high profile silicone gel implants placed subpectorally (under the muscle) via the lower mastopexy scar. Both procedures were performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results shown at 3 months after augmentation.