Our 43 year-old patient underwent a breast augmentation procedure using 305cc Sientra silicone textured implants positioned over the breast muscle. Anatomical implants have textured shells which allows for the shell to adhere to the tissue within the pocket where the implant resides, and the adherence prevents the implant from turning. Breast augmentation with anatomical implants is a common choice after pregnancy and breastfeeding, when breasts often lose their original and youthful look and shape. From her surgical procedure, our patient went from B-Cup to a D-Cup. New York plastic surgeon Dr. Kevin Tehrani, MD, FACS, is renowned for his mastery in aesthetic surgery. As he considers plastic surgery to be the ultimate expression of art in surgery, Dr. Tehrani relentlessly strives for exceptional care and results for his patients. He is certified by the American Board of Plastic Surgery and is a fellow of the American College of Surgeons. Dr. Tehrani is the founder and director of Aristocrat Plastic Surgery with offices in Manhattan and Long Island. He is Chief of the Division of Plastic Surgery at SUNY Downstate Medical Center and is a member of multiple local and national societies, including the American Society of Plastic Surgeons