A 5 ½ year followup in a petite woman in her mid 30’s. She is 5” tall and 100 lbs and described herself as a 32AA cup before surgery. She wished to have a very natural look after surgery and was carefully sized in the office based on her tissue size and characteristics. She had 250 cc smooth round high profile silicone gel implants placed in a partial sub-pectoral ( below the muscle) position through an infra mammary incision. She loves her new look which is fuller but still natural and appropriate for her body size.