This is a 30 year old white female 5’ 8” 143 lbs who’s only previous surgery being a rhinoplasty. She has not had any children. Her bra size is a 34 B without ptosis with just slightly laterally projecting nipple areola complex. Her desire was to be a nice full C cup for her bra. Her base width was 15 cm which gave her adequate room for a larger size prosthesis. After performing both 3D analysis and external sizing she chose a 425 cc moderate plus silicone prosthesis and underwent an unremarkable bilateral sub pectoral augmentation. Her postoperative course was uneventful. Three months later the breasts have healed nicely. They have settled into proper position and she has achieved her desired fullness while maintaining a natural appearance. Her body is now in nice balance.