The patient shown in this case requested substantiative breast augmentation, but was equally adamant to have a very natural result. 300cc anatomical implants were placed under the pectoralis muscle. Fatgrafting was undertaken before placement of the implants, mainly into the muscle at its chestbone insertion. The addition of fatgrafting in this case helped to create a smoother cleavage and less noticeable implant edges, overall creating a much more natural look.

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