This video presents a lecture by Dan Del Vecchio, MD, from the 46th Annual Baker Gordon Symposium on Cosmetic Surgery, held February 9–11, 2012, in Miami, Florida. Some patients seeking breast augmentation have perfect soft tissue and have excellent results when having breast augmentation. Often, poor results in this procedure stem from inadequate soft tissue coverage rather than failure of the device per se. The future of breast augmentation may involve a combination of implant and fat, working together, to achieve an optimal balance: the core projection of an implant and the natural look and feel of fat.