This is a 33 year old healthy white female; her only previous surgeries being an appendectomy and a c-section. She has had two children and breast fed for a short period of time. She is a non-smoker. She is 5’2” and 114lbs. She is very active. Her bra size was a 34A without ptosis and her base width is 13.5cm. She wished to be in the full C range. Examination showed small breasts without any ptosis and having discussed the risks and benefits of subpectoral augmentation and having preformed external sizing she chose a 425cc smooth silicone implant and underwent an unremarkable augmentation mammoplasty. Photos obtained at 2 months show that she has healed nicely. The breasts are nicely round, full and symmetric. She has achieved her desired size without appearing overly augmented. She is back to all normal activity. She is quite happy with her surgical outcome.