In this video, Rod Rohrich, MD performs a breast augmentation using silicone gel implants on a woman who wishes to regain the upper pole fullness she had prior to pregnancy. In this video, Dr. Rohrich discusses the benefits of using the inframammary fold, subpectoral approach with a smooth, round silicone gel implant. He demonstrates the markings for the operation and the rationale behind them, and discusses how breast diameter, base dimension and ptosis play into decision-making for proper implant sizing. During the operation, he demonstrates the elevation of the pectoralis major and the importance of not “over-releasing” the muscle in patients without a lot of breast tissue. He shows the aureolar plane dissection, and discusses his preference in placing implant sizers prior to final implant placement. He also discusses the importance of establishing hemostasis to prevent capsular contracture, his procedure in using triple antibiotic solution after hemostasis has been achieved, and his methodology for closure and post-surgical care.