*This 42 year old woman presented to our office to discuss having a breast augmentation. She had very little breast tissue causing her breasts to appear saggy. After discussing her options with her surgeon, she decided to go with the recommendation of using anatomically shaped cohesive gel implants. These implants are the perfect choice when you are looking for the implant to shape the breast and lift the nipple but not to the point of needing to add a skin excision breast lift into the equation. Using careful measurements, implants with a medium height and moderate projection were chosen. Because she is fairly petite, 280 cc implants were chosen. They were placed under her pec muscle through an inframmary fold incision. Her post-operative result shows her at eight months after her augmentation with a very aesthetic shape to her breasts and nice resolution of her ptosis.