33-year-old female interested in breast augmentation. She is accompanied today by her husband, and they have 4 children together who were all breast fed, and they do not plan to have any more. Even with pregnancy and breast feeding, she states she has never had much breast volume. She also exercises and lifts regularly. She currently wears a 32A bra, and would like to have more volume. She feels she has a large “rib cage” and broad shoulders, and would like to have more volume in her breasts that makes her look more proportional. She would like them to look as natural as possible, but wants to get the most volume possible for an attractive breast. Height is 5’9″. Weight is 145 pounds. After trying on our sizers, she decided that her goal was approximately 475 cc. She was augmented with 475 cc 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.