A long term follow-up on a woman now in her later 30’s. This helps answer the question of “what will happen to my breast if I get pregnant after breast augmentation”. She was initially seen in her late 20’s and described herself as a 32 AA cup and wanted to be a B or C cup if possible, but still natural in appearance. She is petite at 5 feet tall and 101 lbs. She elected for a smooth round silicone gel implant placed in a partial sub-pectoral position through an inframammary incision. A 250 cc high profile implant was used. This was the largest implant that I felt would still fit her tissues without looking overly round. She has since had a child, and is shown again, 7 1/2 years after surgery. Although the breast typically gets larger with pregnancy and then smaller after, she has not developed significant drooping or stretching of her tissues and has maintained an excellent result. This is partly because she does not have as much native breast tissue to change with pregnancy, and partly because she did not have an implant that was too large for her tissues and could therefore lead to more problems with stretch.