Before | Patient is a 43-year-old, mother of 4, who had a previous breast augmentation with 375 cc saline implants. She is 5’8” and 144 lbs. Pre-operative bra size was 34 C, and she desired more fullness and lift. Procedures included removal and replacement of bilateral implants (425 cc high profile, saline) with a circumareolar mastopexy, full abdominoplasty and liposuction to flanks. Post-operative bra size is a 34 D/DD.