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*This petite 46 year old woman had lost the volume in her breasts and she felt that her breasts were “saggy”. She needed not only volume in the form of a breast implant but a breast lift as well. Her surgery was done as an out patient with the SPAIR technique used for the breast lift and 300 cc smooth round gel implants with a moderate plus profile were used. Her implants were placed in the sub glandular plane. Her areolas were reduced as part of the lift procedure which was important to her. Her pre & post -ops show her at only 6 months from surgery with a very nice result.