A tall 5’10” 50 year old woman deflated with pregnancies and weight loss. She had wide hips, and never felt proportional and just wanted fuller breasts. I offered her a high profile 600cc silicone implant that filled her skin and parenchyma, and a periareolar mastopexy offered just enough NAC elevation to make her breast shape pleasing, but not perky. Her figure is now more proportional.