“Old” age should never be a determining factor for breast enlargement. Breast augmentation surgery should only be withheld from a patient for two reasons. The first reason would be that the patient is medically unfit to have the surgery. They may have lung, heart, kidney, etc. problems. Operating on such patients would put their life in jeopardy. The second subset of patients should not be operated for psychological reasons. They may have the wrong motivation, they may believe that breast enlargement is the answer to all of their life’s problem, they may a have a skewed perception of their body image, or they may be frankly psychologically unfit to make an informed decision and give consent for breast augmentation surgery. Age itself may slow healing, and require some adjustments in the post-operative period, but provided a patient is healthy, they should not be barred from having their breasts enlarged, simply because they are too old.