A mother of 4 in her early 30’s who is bothered by a droopy and deflated appearance of her breasts after her pregnancies. She is a 36 B and was a DD when pregnant and liked the size. She would like to be lifted and fuller. Although she may have liked a DD size, eventually women will have problems with back pain and shoulder pain and she settled on a 36 full C to small D range. She is shown before and again, just 6 weeks after an inverted T mastopexy combined with a 450 cc round, textured, high profile, silicone gel implant. Texture was chosen to decrease the risk of shifting of her implants after surgery, especially given the decreased elasticity of her tissues after her pregnancies. She is now a 36 D and loves the size and shape. Scars are typically at their worst at 6 weeks and will continue to fade and improve over the next 2 years.