This is a 44 year old female in good health. She is 5’5” and 121lbs. She has had two children but did not breast feed. She recently lost 20lbs which had resulted in the loss of breast volume, particularly in the superior pole. Her desire was to be in the nice full C cup range. Examination confirmed the loss of volume with mild glandular ptosis and ever so slight asymmetry with the right breast being slightly smaller. In order to correct this and to achieve her desired size she underwent a dual plane augmentation mammoplasty utilizing a 400cc moderate plus smooth silicone prosthesis on the right and a 375cc prosthesis on the left. Postoperatively she did beautifully and photos obtained at four months show that she has achieved her desired results. The breasts are fuller particularly in the superior pole, the glandular ptosis has been improved through the use of the dual plane approach and she is back to all preoperative activities. She is quite pleased with her results.