This patient opted for a mommy makeover with 500 cc silicone breast augmentation. The result is natural, and the scars not noticeable. The patient was thrilled and she referred three other family members to Dr. Hughes. A submuscular approach was chosen to give a more natural takeoff at the superior aspect of the implant and to provide better camouflage for the implant. Dr. Hughes created a result that is natural and symmetric even with very large implants. Once again, every patient has different anatomy and different taste, different limitations and different perspective. Dr. Hughes tailors the operation for each individual, and Dr. Hughes meets and exceeds expectations time after time.