This 45 year old had a prior subglandular breast augmentation with saline implants with concentric mastopexy.  She was displeased with her appearance.  The nipple areolar complexes were looking in different directions, and she was not happy with the appearance of her breasts.  We changed her appearance by removing the implants, re-attaching her muscle to the breast tissue and placing gel implants in a subpectoral position. To address the nipple malposition and the shape, we performed a vertical mastopexy. We removed saline implants 250 cc, and replaced them with Mentor MPP 175 cc. Breast Lift performed by board-certified plastic surgeon Peter D. Geldner, MD, with offices in Chicago and Oak Brook.