Broad shouldered 32 year old postpartum female requesting saline implants. Subpecoral placement 400cc smooth saline implants inflated to 400 cc. Good elasticity and enough breast tissue to get away with saline. Tight enough cleavage to tolerate under the muscle. But when she flexes, the breast do pull apart unnaturally. This case was performed during the moratorium on silicone. Today I would use silicone over the muscle.