35 year old mother of 9 year old twins and a 6 year old. She did breast feed all of her babies. Her current bra size is a 34 B and she states that she definitely wants more overall volume. She states that after breast feeding she felt deflated and says that she is also droopy. She has also seen another surgeon, who recommended a breast lift instead of an augmentation. This lady was interested in avoiding the additional scars of a lift, if at all possible. Height is 5’4″. Weight is 137 pounds. After trying on our sizers, she decided that her goal was around 450 cc. Therefore, she was augmented with 450cc 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.