Age: 55 years Height: 5’ 4” Weight: 160 pounds Preop: 36 C/D Postop: 34 DD Implant Size: 550 cc right 560 left smooth round moderate plus profile saline Incision/Location: Inframammary, submuscular Notes: This patient underwent previous bilateral breast augmentation with saline implants in 2005 elsewhere and presented with rupture of the left implant. Her previous surgery was performed via an incision in the crease of the breast (inframammary), and under the muscle (submuscular). Bilateral breast implant exchange was performed with superior and medial capsulotomies. The upper and inner portion of the both breast pockets were reopened to improve contour. This gave additional fullness to the upper portion of the breast and improved cleavage. The patient elected to have a saline implant placed but desired additional volume. She now has greatly improved volume and shape, and a natural contour. She is shown 6 months after surgery.