*This 39 year old woman felt that her breasts were “saggy and she had extra skin.” In her case the “saggy skin” was easily filled by doing a simple breast augmentation. Filling the skin envelope alone lifted her breasts. Two different sized smooth round gel breast implants were used to try to correct the asymmetry in the volume of her breasts. A 325c implant was placed under her left breast and a 350cc under her right. Both implants were a moderate plus profile and placed under her pectoralis muscle through an inframmary fold incision under the breasts. She was very pleased with her post operative look.