This young woman was unhappy with the size and shape of her breasts. She wanted breast augmentation surgery. She was also advised that she may need a small breast lift- a periareolar mastopexy. She decided to wait until her breast implants settled after the augmentation, then decide about the lift at a later date. She underwent a breast augmentation with smooth, round, high profile, silicone implants placed under the muscle through an incision placed at the breast fold. She is ecstatic with her results. Her breasts are larger, with a much more aesthetically pleasing shape, and the incision is hidden beneath her breast. She was so happy with the look and feel of her breasts that she decided against the breast lift.