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CASE DESCRIPTION: This is a 45-year-old, female resident of San Francisco, California who presented to the San Francisco office at Union Square for evaluation for breast augmentation. She is 5 feet 7 inches tall and weighs 143 pounds. She is the mother of four children. She underwent bilateral augmentation using Mentor silicone gel breast implants with a size of 300 ccs. She had a peri-areolar incision approach with sub muscular position of the breast implants with a dual-plane placement. Her procedure was performed at Marin Cosmetic Surgery Center in Marin County, California. She went from a size B to a C+.