This 56-year-old female had a prior breast lift with augmentation (saline implants) by another surgeon about 15 years before her consultation with Dr. Steele. She did not like the asymmetry of her breasts, the residual pigmented areolar skin left behind, and the loose skin in her lower breast. After a thorough evaluation, Dr. Steele recommended an implant exchange to silicone implants of a similar volume with a revision mastopexy to improve her shape and symmetry. She is shown 5 months after surgery and was thrilled with her results.