This is a 44-year-old woman who presented for revision breast surgery. She previously underwent bilateral breast augmentation with 500 cc saline implants. She suffered a rupture of her saline implants and desired to undergo re-augmentation with small implants secondary to an active lifestyle. After several consultations with other plastic surgeons she elected to precede with bilateral implant removal and replacement with style 15 397 cc smooth round silicone implants as well as a vertical mastopexy. She is pictured here 6 months post-operatively and was very pleased with her outcome.