28 year old female, original breast augmentation over 10 years ago with a different surgeon. She feels implants look like “two balls on the chest”, with a wide cleavage, bottoming out and didn’t fit her body. A breast augmentation revision was performed with removal of her previous saline implant, new pocket creation under the muscle, and replacement with 350cc moderate profile silicone implants. Capsulorrhaphy (pocket manipulation) was used to reposition the implants correctly. Results show a significant improvement in breast fullness, perkiness, breast shape, nipple position as well as a tighter cleavage.