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*Achieving a natural breast augmentation in a very thin woman is not an easy thing to do. There are many decisions to make that will determine the outcome. In this case the woman was 44 years old, 5’6″, 119 lbs and had a bra size of 34A. She chose her surgeon carefully because looking proportionate and natural were priorities for her. Smooth round gel breast implants were chosen, 350 cc with a moderate plus profile. They were placed under her pectoralis muscles for extra soft tissue coverage. Her choice of where to have her procedure paid off. She was thrilled with her result which met all of her goals!