This 37-year-old mother of 4 children desired breast implants to restore the loss of volume and upper breast fullness that happens so frequently after pregnancy and breast feeding. After careful examination of the patient’s body habitus and breast dimensions, high profile silicone gel implants (450cc) were chosen for placement behind the muscle. The subpectoral position was chosen due to the patient’s very thin upper breast tissues, and to avoid any visible implant rippling or wrinkling. Her 3-month photographs after the breast augmentation show excellent shape and symmetry.