This patient originally underwent breast augmentation surgery in 1996 with smooth, round, moderate profile saline implants. Her breast implants had dropped over time and started to fall to the sides. She requested that I exchange her implants with new, larger and more projecting silicone breast implants in order lift her breasts and to create greater fullness in the cleavage area. I exchanged her old breast implants with new ultra high profile silicone breast implants, each filled with 535cc. I tightened each breast implant pocket and raised the position of her new implants as desired.