52 year old wanting to discuss breast augmentation revision. She is the mother of one of our breast augmentation patients: they are interested in doing the surgery on the same day, so that they can recover together. She has had breast augmentation performed 25 years ago. She has 225 cc silicone implants (under the muscle) with incision sites located laterally and above the inframammary fold. Her primary goal is to increase her size somewhat, she has always felt that she did not reach her desired volume. On examination, her implants are not correctly positioned either, being slightly too high. The procedure was performed in-office in our fully accredited (AAAASF) facility under light sedation and local anesthesia: we extensively revised the breast pockets to get the new implants behind the nipple (correcting their malposition) and also removing the old implants and replacing with 325 cc silicone gel implants. Results are shown at 3 months.