46-year-old female interested in breast enhancement options. She has an 18-year-old son who was breast fed for about 9 months. She states she has always been very fit and trim, and a couple years after her son was born, she felt that her breasts were too large for her frame. At the time she elected to have a breast reduction (outside facility). After that reduction, she was a large B to small C cup. Over the last several years, she had gained some weight, but was overall happy with her appearance. However, she feels her breasts are now too small. She also wants to have more upper pole fullness. She currently wears a 34D, and wants to go up at least one more cup size. She would like her breasts to look natural and be proportional to her body. Height is 5’9″. Weight is 140 pounds. After trying on our sizers, she decided that her goal was around 200 cc. She was augmented with 200 cc smooth round high profile silicone gel implants placed subglandularly (over the muscle) via inframammary incisions. The procedure was performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results shown at 2 months.