Presented to our office 4 years after having breast augmentation performed, and also after having one child and nursing them for 5 months. After her pregnancy, she had developed a ‘double bubble’ deformity, from the massive expansion and deflation of her breasts during pregnancy and breast feeding. This was addressed by surgically revising the breast capsules and tacking down the lower pole of the breasts. The procedure was performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia. Results shown at 2 months.