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22 year old student interested in learning about breast enhancement: she desires larger breasts. 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.