While in her early 70s this patient underwent a breast augmentation performed by Dr. James Rough. She expressed feeling insecure about the appearance of her breasts, which she felt were disproportionate to her overall body shape. Now she is pleased with her enhanced cup size and feels self-confident in her more proportionate shape after undergoing breast enhancement surgery. She underwent bilateral breast augmentation with placement of 375 cc Mentor silicone round moderate plus smooth implants. They were placed via inframmamary fold incisions and under the pec. muscle. The patient mentioned that she believed the professional manner from Dr. James Rough was outstanding in every way.