More upper pole fullness can be achieved with capsulorrhaphy (sewing the pocket) or with just adding a larger implant, and in this case, we did both! Moving an implant uphill is always a challenge, especially when the patient wants to go larger in size! She had 385cc originally and had slipped too low on the right side. She desired to have this fixed and to go larger! Another surgeon had told her to do capsulorrhapy on both breasts, but my feeling was she just needed it on her right side with a larger implant and just a larger implant on the left. We put 560cc Allergan SRM on the right and 600cc on the left....