This 48-year-old started in very good shape but does present with a couple of challenges. She had breast implants placed 21 years prior and now noticed her breast sitting a bit too low and touching her tummy. We changed her implants from saline to highly cohesive gummy bear implants (375cc) and also put sutures in the pocket to raise the implant position just a bit. I performed a Brazilian breast lift, raising her nipple and removing the entire droopy, lower pole of breast tissue. And nine months later her breasts are still not touching her tummy!