This is a 33 year old white female. She is 5’2” and 110lbs. She has had no previous surgery. She has two children, whom she breast fed. Her youngest is now three. Her bra size was a 32C with first to second degree ptosis and glandular ptosis. Her desire was to be in that full C-D range. We went over the surgical procedure of an augmentation with a vertical mastopexy at great length and did external sizing to 400cc which would give her the needed volume. She underwent an uncomplicated subpectoral augmentation with vertical mastopexy and spent the night since she was from out of town. Her postoperative course was unremarkable and photos taken at two months show that she is healing nicely. The breasts are full and elevated with nice symmetrical volume. She is back to all normal activity and is quite pleased with her surgical outcome.