This 33-year-old woman was interested in breast enhancement to help fill her existing breast envelope, in particular to fill the upper portion of her breasts. We performed a submuscular breast augmentation with highly cohesive gel silicone implants placed through incisions hidden in the fold under her breasts, 235 cc implants on both sides. Her results are lovely and balanced with her athletic frame, as seen in her 6 week post-op photos.