Breast Augmentation 28

This is a 38-year-old female who had breast augmentation done with saline implants under the muscle 19 years ago, and she is currently a C cup having had two children and breastfeeding one of them, and she wishes to have the lower pole dehiscence and lateral pole dehiscence fixed.  She wishes to have upper pole fullness.  She had said that she wants to be a mid-D cup breast, but on the morning of surgery, she states that she is interested in going even full D cup breast in order to get upper pole fullness.