This woman in her late forties wished to enhance the fullness and size of her breasts and the appearance of her waist. She and Dr. Howell compared breast lifts with and without implants as well as the various types of implants. She selected submuscular, smooth, round, silicone implants with a breast lift and abdominoplasty with liposuction of the flanks. She has good size, shape, and symmetry and is featured before and 2.5 months afterwards.