Patient is a 40 year old woman who presented with complaints of loss of breast volume as well as abdominal skin laxity following pregnancy. She desired restoration of her pre-pregnancy breast volume and shape as well as re-contouring of her abdomen. Because of avid fitness activities, she did not want any changes in her pectoralis muscle. Because of her concern for scarring, she was interested in a breast lift. She underwent bilateral breast augmentation with placement of silicone gel implants in a subfascial position. She is seen here 6 months after surgery, and she has resumed or her exercise routine without limitations and without animation of her implants.