This patient originally underwent breast augmentation surgery in 2001 with smooth, round, moderate profile saline implants and a simultaneous bilateral breast lift . Her breast implants had dropped over time and started to fall to the sides. She requested that I exchange her implants with new, similar size more projecting saline breast implants in order lift her breasts and to create greater fullness in the cleavage area. I exchanged her old breast implants with new high profile saline implants, each filled with 490cc. I tightened each breast implant pocket and raised the position of her new implants as desired.