This woman wished to have a significant rejuvenation to her breasts after having had 3 children. Her goals were a modest augmentation, a lifted reshaped breast, and hidden incisions. I performed a breast augmentation with new generation cohesive gel silicone implants along with a breast lift with an incision only around the areola. Her after photos, taken 6 weeks after her procedure, show a dramatic improvement with hidden incisions that will continue to fade over the next few months.