38 year old, presented for consultation regarding breast enhancement. She has two children ages five and three years. She states that she is interested in breast augmentation: she realizes that she does have some ptosis present, but would like to preserve the natural appearance of the breast and does not want a lift. She states that her main objective is to gain volume in the breast and maintain a very natural look and feel. She has done some research and has had a prior consult with another plastic surgeon before visiting us. Height is 5’10”. Weight is 177 pounds. After trying on our sizers, she decided that her goal was around 475 cc. Therefore, she was augmented with 475 cc smooth round high profile silicone gel implants placed subpectorally (under the muscle) using an inframammary incision and a dual plane approach to minimize the risk of a ‘double bubble’ deformity. The procedure was performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results are shown at 3 months.