This 48-year-old female desired increased upper pole fullness. Due to her breast and nipple position relative to her breast crease, Dr. Steele felt like a combination procedure with a lift would give her the optimal result. The patient did not want to appear “fake”, and as a result more conservative sized, low profile implants were chosen to give her fullness without an overly augmented look. Her postoperative photographs show excellent size, shape, and symmetry.