This 57-year-old female desired a very modest increase in breast volume and did not want to look overly “fake.” After hearing listening to her concerns, taking breast measurements, and letting the patient try on breast sizers, Dr. Steele formulated a plan to include smaller, low profile implants placed under her chest muscle to give a very natural look; without too much fullness in her upper breast. She and her husband were extremely pleased with her postoperative results shown here.