This 41-year-old came to see Dr. Parker about her breasts which have sagged over time. She requested him to make her breasts more symmetric, perkier and uplifted. In addition, she asked him to address the asymmetric fullness in her upper breasts adjacent to her armpit–this is known as the tail of the breast. The patient is 5’4? tall and weighs 170 pounds. She currently wears a 38 D bra. Dr. Parker reviewed options for treatment with the patient. They agreed upon and he subsequently performed the following procedures: he removed 180 grams of tissue from the lower aspect of the larger right breast, inserted 200 cc silicone implants into both breasts and performed a lollipop lift in order to position them higher up on the chest. Finally, he performed liposuction of the tail of the breast, removing 80 ccs of fat from the right side and 50 ccs of fat from the left. The patient recovered quickly from these procedures. She is pleased with the improved appearance of her breasts.