This 36 year old patient consulted with Dr. Daniel about breast augmentation. She stated that she was currently an A and she wanted to be a full D or even a DD. She breast fed all four of her children and had a form of diabetes that was controlled with oral medication. As Dr. Daniel discussed the case with her, it was decided that an inframammary approach incision utilizing round, smooth, silicone gel implants would be her best option. Allergan Style 15, 490cc silicone gel implants were used. Postoperative photographs were taken at seven months and show great symmetry in the front view. The breasts were quite soft and the incisions have faded ahead of schedule and she was very happy with shape and size.