This is a 54 year old white female in good health and no major medical issues. She has long thought about breast augmentation. She is 5’6” and 126lbs. Her bra size was a 36A with mild asymmetry. She had two children via c-section and breast fed both of them. Her breasts were soft but not ptotic. Her desire was to be in that nice C cup range. After discussing the surgery at length she underwent an unremarkable subpectoral augmentation utilizing a 375cc moderate plus smooth silicone implant on the right and a 350cc implant on the left, since the left breast was ever so slightly larger. Her postoperative course was uneventful and photos obtained at three months postop show that the breasts are settling in nicely. They are full, round, nicely shaped and the slight size discrepancy has been corrected. She is back to all normal activities and is quite pleased with her cosmetic result.