While in her late 40s, this patient had a breast augmentation under the skilled hands of Dr. James Rough. She was not happy with the size of her breasts and wanted to make a change. Following a thorough examination, it was determined implants would create the appearance she wanted. Before treatment, she was able to look at various implant sizes to help she feel assured about her procedure. As a result of this, she is pleased with her fuller breast size and is confident in her more proportionate figure following breast augmentation. This patient stated that she thought the professional manner of Dr. James Rough was outstanding in every way. She underwent bilateral breast augmentation with the placement of 450 cc Mentor silicone XTRA HP round smooth implants. They were placed under the pec. muscle.