34-year-old female visited us to discuss breast augmentation. She has 4 children, aged 10, 7, 4, and 1 years. Prior to pregnancy, she wore a 34 C or D cup. While pregnant and breastfeeding, she wore a 36DD cup. She now wears a “34C and a half” bra size. Her concerns at this time are “flat breasts” and lack of upper pole fullness. She would like to be a D cup and would like the breasts to be higher. She notes her weight has been stable for about a year. Height is 5’3″. Weight is 145 pounds. After trying on our sizers, she decided that her goal was approximately 400 cc. She was augmented with 425cc smooth round high profile silicone gel implants placed subpectorally (under 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.