Age 31, height 5’9″, weight 165 pounds, has 5 children. She was at a stable weight and concerned about her breasts being “deflated” and would also like more volume in them. Her bra size was a 34A, and she wanted to be a C cup. She nursed all of her children and stated she felt her breasts were “droopy” afterward. Even though her primary goal was additional breast volume, because she had significant breast droop (ptosis), we explained that breast implants needed to wait until the ptosis was corrected with a breast lift. Once healed (typically 2-3 months later) if she still desired more breast volume, we could add implants without adding new scars (using the breast lift scars). She agreed to this staged approach, and proceeded with a mastopexy (breast lift). The procedure was performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results shown at 3 months. After several months, she was able to proceed with her breast augmentation, once the breast droop had been corrected (shown HERE).