47-year-old presents to discuss options for breast augmentation. She is accompanied today by her significant other, she has two grown children, ages 20 and 24, who were not breast fed. She states she has never had much volume in her breasts, and currently does not wear a bra. (She thinks she may be around an A cup). She has looked at several before and after photos on my website, and is hoping augmentation will allow her to have cleavage. She has a minor pectus excavatum issue at her sternum, which will be accentuated somewhat with breast implants. Her goal is to have more volume that looks natural and proportional to her body. She does not want to look “overdone.” Height is 5’6″. Weight is 125 pounds. After trying on our sizers, she decided that her goal was approximately 300 cc. She was augmented with 325cc 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.