36 year old with significant pectus deformity desired larger breasts. After trying on our sizers, she decided that her goal was approximately 350 cc. She was augmented with 350 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.