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This is a 33 year-old female who is 5’3” tall and weighs 130 lbs. She presented to discuss options of body contouring. Approximately 13 years prior she underwent a gastric bypass and lost 150 lbs. Because of the significant weigh loss she had lost all of the fullness in her breasts and desired breast augmentation. Therefore, she underwent a breast augmentation with Mentor smooth round high profile silicone implants, size 500cc. The implants were placed subpectorally via inframammary fold incisions. Post-operatively she was approximately a full D cup. Many women who lose this amount of weight will require a breast lift as well. However, for this patient she was able to achieve her goal with implants alone because her primary problem was loss of tissue fullness rather than loose skin in her breasts.