This woman in her mid-twenties desired a breast augmentation from a 32A to a full B/ small C. She was already familiar with the process and extensively discussed silicone versus saline, implant placement, and incision locations with Dr. Howell. Afterwards, she chose to proceed with ~300cc submuscular silicone implants placed inframammary. She has great size, shape, and symmetry and is shown before and three months afterwards.