This 29 year old female presented to Orange County Plastic Surgery with a request to undergo breast augmentation. On examination, the patient was found to have minimal breast tissue. The patient initially underwent breast augmentation with 350 cc saline implants in a submuscular pocket. After about 1 year, the patient returned to have her implants exchanged for 650 cc ultra high profile silicone implants. Post-operative pictures are taken at 3 months after her second breast augmentation surgery with the ultra high profile implants.