This is a 46 year old white female in good health. She is 5’8”, 135lbs and has three children whom she breast fed. Her bra size was a 36B and her desire was to be in that full C/D range. After preforming external sizing she chose a 475cc prosthesis and underwent a subpectoral augmentation with a vertical mastopexy. Her postoperative course was unremarkable and photos obtained at five months show that the scars are well healed, the nipple/ areola are elevated and she has the desired fullness. She is back to all normal activity and is quite pleased.