Patient is a lovely 39-year-old Caucasian female who complained of small, saggy and deflated breasts after having four children and breastfeeding. She wore about a 36 C-cup bra and desired to become a much fuller “DD”-cup size with very uplifted “perky” breasts. She had the Sientra brand of highly-cohesive gel implants placed (505 cc High-profile) under the pectoralis muscle and underwent Vertical (“lollipop”) mastopexies in order to correct her severe ptosis and she is thrilled with her results!