This patient’s breast had undergone significant changes over the course of her life. The deflated appearance of her breasts made her self-conscious as well as uncomfortable in much of her clothing. She was the perfect candidate for an enhanced mastopexy. As seen in her after photos, taken at her 1 year follow up visit, we were able to convert some of her excess breast tissue to restore fullness to the upper portion of her breasts without the use of an implant.