While in her later 20s this patient underwent a breast augmentation under the skilled hands of Dr. James Rough. She believed her breasts lacked size and shape and desired breast augmentation to refine the appearance of her physique. Because of this she is pleased with her improved breast size and feels confident in her more balanced physique after getting breast implants. She had 450 cc Moderate plus, silicone, round, smooth breast implants placed under the muscle.