Age 31, height 5’9″, weight 165 pounds, has 5 children including a set of twins. She was at a stable weight and concerned about her breasts being “deflated” and would also like more volume in them. Her bra size was a 34A, and she wanted to be a C cup. She nursed all of her children and stated she felt her breasts were “droopy” afterward. 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). After she had healed from the breast lift, she returned to our in-office facility for breast implant placement. Results are shown here 3 months AFTER the breast implants were placed in her second procedure (375 cc, under the muscle placement).