Pleasant 59 year old female. 25 years prior, she had a breast augmentation (subglandular, saline) by another physician. Within the same year she went to a different surgeon for breast revision: new gel breast implants were used and placed under the muscle. Ultimately, she remained very unhappy with her breast shape, but she was happy with the breast size in a bra. Because of her significant breast ptosis (droop), we suggested and she agreed to proceed with a mastopexy (breast lift) to address her concerns regarding sagging and breast appearance (the previously placed implants were removed and discarded). The procedure was performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results shown at 3 months.