This patient presented with grade II droop and really was looking for a classic left result… Nipples more in the middle of her breast, more upper pole fullness and her breast tissue off her tummy. We placed Allergan style SRM silicone gel implants 310cc completely under the muscle and then did a Brazilian lift on top of that which has the benefit of eliminating a lot of the lower breast issue which in other techniques can begin to droop within a few months. At almost a year later she is still up off her tummy, with good upper fullness and nipple position.