The patient is 5’ 2”, 130lbs wears a 34DD bra. She previously had breast augmentation with saline implants with a total of 485 cc’s in the right and 470 cc’s in the left. She complained of her sagging breasts, the feel of her saline implants, and the indented area resulting from her incision. She underwent a revision breast augmentation and a circumareolar augmentation and mastopexy with smooth round Mentor high profile silicone implants with 475 cc’s on the right and 450 cc’s on the left . (Bronx, New York) Post-operative photos are taken 3 months after surgery.