This patient had an above the muscle breast augmentation 10 years prior to her initial consult. She felt her breasts and areola were too large and her implants were causing her back and neck pain. She wanted to have her implants removed and her breasts lifted. She underwent removal of her implants and mastopexy and is seen here preop and 6 months postop. She is thrilled with her results and immediately noticed an improvement in her preop symptoms.