36 year old female with previous 320cc saline implants filled to 350cc’s. She requested an implant exchange with gel implants to make her one cup size larger. She had Allergan Inspira 445 SRX smooth round gel implants placed through a breast fold incision and under the muscle. She went from a 36B to a 36C cup. She is 5 feet 3 inches tall and weighs 130lbs. She has one child.