Age: 48 years Height: 5’ 4” Weight: 130 pounds Preop: 36 C Postop: 36 C ImplantSize: 400 cc moderate plus silicone implants Incision/Location: Inframammary Notes: This patient underwent previous breast augmentation with saline implants through an inframammary incision elsewhere. She sustained a rupture of the left implant with complete deflation. She presented to Dr. Zemmel for replacement desiring a more natural feeling implant. Bilateral implant exchange to silicone implants and upper pole and medial pole capsulotomy was performed. She now has a more symmetric, natural look and is shown 4 months after surgery and is quite pleased with her result.