This 44 year old woman desired larger, perkier breasts after breastfeeding 3 children. She is 5 feet 4 inches and 140 lbs with a preoperative bra size of 36 A. She wished to be augmented to a full B cup. She had high profile 350 cc gel implants placed under the muscle with a periareolar mastopexy (breast lift with scars limited to the areolar border). The photos were taken 3 months after surgery.