After losing 120 pounds with a gastric sleeve procedure, this 39-year-old female was left with a significant loss of breast fullness with very saggy breasts. Because of her severe breast ptosis (sagging), Dr. Steele advised staging her procedures and first performing a mastopexy (lift) followed by an augmentation 3 months later. This technique is advisable when the nipple needs to be relocated a significant distance, commonly seen in post-bariatric patients. At 4 months after surgery, she is very pleased with her new breast shape and nipple position.