This 35 year had postpartum atrophy of the breasts with concave lower sternum and widely spaced insertion of the pectorals muscles. She is a poor candidate for sub-muscular placement of implants which would result in wide cleavage and jumping breast deformity. She has broad shoulders and a flat partially concave rib cage so moderate plus Mentor smooth silicone gel implants were chosen. High profile would not have given adequate width to projection in this type of patient.