This is a 39-year-old woman from Central Minnesota who is interested in breast augmentation. Prior to surgery, the patient was a 34B. At the time of surgery, the patient underwent submuscular silicone gel implantation. The implants were 410 cc Sientra silicone gel implants. Postoperatively, the patient was very happy with her result. She was able to wear a 34D postoperatively and was pleased with her natural contour.