This woman in her 50s had a breast augmentation many years ago at an outside clinic with very large saline implants. She disliked the weight of the implants and the 'bottomed out' appearance of both implants. She also has substantial breast skin envelope stretch on both sides. She was treated with bilateral implant removal and a 'anchor' pattern breast lift procedure which restored a natural shape to her breasts. She is delighted with the cosmetic result.