This is a 53-year-old female who was unhappy with the appearance of her breasts and sought a consultation with breast surgeon Dr. Keith Neaman in Salem, Oregon. The patient wanted to repair the decreased size of her breasts and loss of upper pole fullness. She elected to undergo an augmentation with breast lift in hopes of improving her upper pole fullness and overall shape of her breasts. During the consultation, Dr. Neaman reviewed multiple pictures with her, in addition to demonstrating several implants to help obtain the appropriate size. The patient underwent an augmentation and lift with silicone breast implants at an accredited outpatient surgery center and was performed in conjunction with a circumferential abdominoplasty. The patient recovered uneventfully and is very happy with the improved appearance of her breasts.