This 59 year old patient has a previous history of silicone gel implants placed 22 years ago. She was unhappy with the appearance of the implants being very low on her chest and has some “bottoming out” of the left implant. She underwent revision breast surgery to remove the old silicone implants, bilateral capsulotomy/capsulorrhapies to improve the breast pocket (internally) and a replacement of new silicone gel implants. In addition she underwent a repair of the left inframammary fold (the natural fold under the breast) to help elevate the left breast. She is very pleased with her results.