This lovely 62 year old female had a previous breast augmentation by a different surgeon 20 years prior and presented to Dr Christopoulos with a deflated right breast implant and droopiness of both breasts. She underwent a bilateral vertical breast lift with new silicone implants in a dual plane submuscular pocket. Smooth round silicone 300 cc high profile implants were used. She was quite happy with these results at 6 months postop.