Breast Augmentation with Fat Grafting

42 year old patient, 4 years of estrogen therapy achieved a bra size 36C. She wanted to increase breast volume by a full cup size and, in particular, improve the prominence of her cleavage. Three week postop photos shown: Bilateral 405cc smooth round high-profile cohesive silicone implants, 1.5cm lowering of inframammary folds, with 140cc of superomedial fat grafting to each breast from the abdomen to augment cleavage.