This lovely patient had a breast augmentation under the skilled hands of Dr. James Rough. She was dissatisfied with the appearance of her breast volume and shape. As a result of this, she is pleased with her fuller bust size and feels self-assured in her more balanced shape after having breast augmentation surgery. She wished to avoid having additional scarring with a lift procedure. After extensive discussion, she elected to undergo an augmentation first with a possible lift down the road, if needed. At this time, she is happy with the natural shape and appearance of her breasts.