This 41-year-old patient originally had saline implants placed in 1997. She felt they were overfilled and gave her too much upper pole fullness and was looking to be smaller and lifted. Her left implant also moved too far to the outside. At surgery I did a left capsulorrhaphy, changed her overfilled saline implants to silicone 345cc and did a Brazilian breast lift, again changing all three breast revision components. We kept her for six weeks in our “knockout bra“ protocol with a very natural result.