Cosmetic breast surgery services are to restore aged or otherwise injured structures to a rejuvenated and youthful appearance. In many respects, quality breast surgery is as much a product of intelligent preoperative preparation and planning as it is an excellent technical skill. Breast implants continue to evolve; we now have shaped, highly cohesive implants with a high fill ratio. The autologous fat-graft injection to the breast is applied to correct breast asymmetry, breast deformities; breast reconstruction; trauma-damaged tissues, and explanation of deformity to improve soft-tissue coverage of breast implants and the aesthetic enhancement of the bust. Although breast reduction is often performed to address medical issues, patients who do not have the symptoms of macromastia (large breasts) can still pursue breast reduction as an aesthetic procedure. With liposuction, from thirty to fifty percent of breast volume can be removed with good elevation, along with a reduction of the size of the areola without post-surgical wound side effects or the disfiguring inverted T-shaped scar. One of the primary goals of any aesthetic procedure is to restore aged or otherwise injured structures to a rejuvenated and youthful appearance. The youthful ideal is a template for nearly every aesthetic procedure commonly performed in plastic surgery today. In many respects, quality breast surgery is as much a product of intelligent preoperative preparation and planning as it is an excellent technical skill. This approach has made these results more consistent and helped tremendously.