Preoperatively patient wore bra size 34 B to C. Some sagging and loss of skin elasticity, with the left side slightly higher than the right and relatively large areolar borders. Patient desired a DD size and fullness in upper quadrants and cleavage but did not want a skin lift. Bilateral breast augmentation was done with 400cc smooth round moderate profile gel implants using infraareolar incision, placement before the muscle. Postoperatively 34DD at 3 months.