31 year old mother of two children. She is currently a 34 B and would like to be a large D. She is best friends with another of our breast augmentation patients. She notes that her left breast is slightly bigger than her right breast and it has always been that way. Height is 5’5″. Weight is 135 pounds. After trying on our sizers, she decided that her goal was around 450 cc. Therefore, she was augmented with 450 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.