This 57-year-old patient had a long history of breast implants going back to saline implants which were later replaced with textured silicone. She now felt too full in the upper pole, too big overall and felt that her breast tissue was too low. A straightforward way to reduce upper pole fullness is with a smaller implant and we went from a 360cc down to a 250cc Allergan style SCLP. To address the drooping breast tissue, we tightened her up using a Brazilian lift. So, to achieve her desire of a smaller, tighter breast, we reduced her implant and reduced and lifted her breast tissue. Her results are shown 15 months after surgery. They are right where she wants them to be!