This outgoing, confidant woman felt as though her voluptuous breast shape had disappeared after having children. She was eager to restore volume to her figure. And as a tall, broad woman, she was prepared to go large. She was well-educated and wanted saline implants placed beneath the muscle. She was comfortable with a breast lift at the same time but did not want the vertical (“up and down”) scar that is often associated with a breast lift. 540 cc Mentor Plus Saline implants were chosen and placed beneath the muscle. The lifting and reshaping were both accomplished using only an incision around the areola, respecting her wishes to avoid the up and down scar. She said she was “absolutely thrilled.”