This is a 45 year old white female. She is 5’7” and 125lbs; her only pervious surgery being a hysterectomy. She had one child and is a non-smoker. Her bra size is a 34B and her desire was to be in the D cup range. Examination showed relatively full breasts with a properly placed nipple areola complex. In order to achieve her desired results she underwent bilateral subpectoral augmentation mammoplasty utilizing a 425cc moderate smooth saline prosthesis that was filled to 475cc bilaterally. Her postoperative course was completely unremarkable. The photos were obtained three months later. She has nicely shaped symmetrical breasts that have achieved her desired D cup bra size.