This 31 year old had a prior subglandular augmentation with 390 cc saline implants. Her breasts felt firm, but she wanted to look better. We decided on a mastopexy and augmentation. The implants were removed, as were the capsules. A biplanar pocket was reconstructed and the right breast was augmented with an Allergan 15-421 gel implant, and the left with an Allergan 15-457 cc gel implant.  The different sizes were needed to compensate for her different sized breasts.  The skin was tailored with modified anchor type patterns. Breast Lift performed by board-certified plastic surgeon Peter D. Geldner, MD, with offices in Chicago and Oak Brook.