Age 24, height 5’5″, 150 pounds, 2 children that she nursed. She lost more than 50 pounds after the birth of her last child and was concerned with the droopy appearance of her breasts. She also wanted larger breasts. She was given the option to do a mastopexy (breast lift) or an augmentation with a dual plane approach. She opted for the augmentation, and chose 400cc moderate high profile silicone gel implants placed subpectorally (under the muscle) using 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 6 months.