A 28-year-old woman from Tempe, AZ requested her breast augmentation be performed with silicone breast implants to achieve a large change in the size of her breast cup. She considered her 32A cup breasts too small, slightly deflated, and mildly asymmetric. Her desires were for a solid D cup to compliment her frame of 5 feet 7 inches and 120 pounds. We recommended moderate plus profile silicone breast implants to give her the best shape because an additional goal for her was to be very round and have good cleavage. The 450cc moderate plus profile silicone breast implants were placed on each side using the breast crease incisions and under the muscle breast implant placement. Before and after breast augmentation photos were taken within four months of her surgery.