This patient had breast augmentation 18 years ago. She had silicone placed on top of her muscle. She consulted with Dr. Lapuerta to discuss options to go bigger. He recommended to place the implants under her muscle and she wanted to change to saline implants. Her cup size was a 36 D and after surgery, she is now a DD. She is very happy with her decision for surgery and even more so, her experience here with Dr. Lapuerta.