This patient presented for evaluation for cosmetic procedures that would improve the appearance of her breasts after having children. She desired more fullness at the upper pole of the breasts. She also wanted her breasts to be the same size. She consulted with Dr. Gray who recommended a breast augmentation using silicone gel breast implants accompanied by a benelli (donut lift) mastopexy. During surgery, Dr. Gray placed breast implants under the pec muscles. He then went on to perform a benelli mastopexy to raise and resize the areola in better proportion with the patient's breast anatomy. The patient healed well and resumed normal activities quickly. Her results are pictured 6 months following surgery.