*This 40 year old mother of three children was interested in a breast augmentation. She presented to our office to discuss the procedure thoroughly with one of our experienced surgeons. She had heard about the anatomically shaped implants and was impressed by the natural results they achieved and their safety record. After a thorough discussion she and her surgeon decided on implants with a moderate height and moderate plus projection. She wanted a very full breast so 420 cc implants were chosen. They would be placed in a sub-pectoral plane through an inframmary fold incision. She discovered in her discussion that her surgeon fully releases the pec muscle so that the benefits of sub-pectoral placement are achieved without the distortion when flexing her pec muscles. The last set of photos show her with her hands on her hips at rest and flexing her muscles with no visible distortion. She is two months out from her breast augmentation.