38 year old patient. She previously had very full breast prior to having kids and breastfeeding. Nice shape before surgery, but obvious volume loss and very slight skin laxity. The best way to pick an implant size is to accurately measure the breast. Dr. Goldberg has the patient raise the arm and place their hand on their head. You can obviously see the outside dimension of the breast. She measured 12.5 cm. Her goal was to be in the D cup range, and she chose silicone implants. They were placed under the pectoralis muscle through a small incision under the breast. The incision is 5cm long, just over 2 inches. 375 cc implants. D cup size.