This 34 year old patient desired improvement in her breast shape and size. Despite having multiple children her breast did not require a lift at the time of implant placement. There are many factors to consider when determining if a patient needs a breast lift. These are things discussed by Dr. Lee during the consultation. This patient displays a wonderful result at her one year follow-up appointment after having under the pectoralis muscle placement of 425 cc smooth round moderate plus profile silicone gel implants.