This 41-year-old woman from Mount Vernon, Ohio had a breast augmentation in years past. She started noticing that over time and gravity taking its toll that she would like to add more volume. She came to The Columbus Institute of Plastic Surgery to have Dr. Bivik Shah take a look. He advised her that 700 HP silicone implants would give her more fullness than the previously 330 saline she currently had. Together they decided to go in and replace the implants for a smoother and more voluminous appearance. She is pictured here before and 4 months after surgery.