Age: 39 years Height: 5’ 2” Weight: 135 pounds Preop: 34 C Postop: 34 D Implant Size: 350 cc moderate plus silicone implants Incision/Location: periareolar, submuscular placement Notes: This patient underwent previous breast augmentation with saline implants elsewhere in 2005. She presented to Dr. Zemmel with areolar enlargement and sagging of both breasts. She desired a smaller, rounded, less full result. She also requested areolar reduction, and wishes to have improved texture and feel of the implants. Bilateral implant replacement was performed with 350 cc smooth round moderate profile gel implants. The new implants were placed in the submuscular position and a full mastopexy (full lift) was performed. A mini-abdominoplasty (tummy tuck) was performed at the same time. She has a fuller more proportional shape, and is shown 4 months after surgery. She is pleased with her result.