This 38 year old patient wanted to go up in size several cup sizes. There is inconsistency among manufacturers when considering cup sizes. The same individual may wear a C cup made by one bra manufacturer and a D cup by another. However, the discussion provides a basis for choosing the correct implant. Other factors considered when determining the best breast implant include the patient’s measurements and breast tissue characteristics. This patient underwent submuscular placement of 445 cc moderate profile silicone gel implants through a 3 centimeter inconspicuous incision in the breast fold.