* After having had a breast augmentation several years ago, this woman decided it was time to change out her implants and go a bit bigger. She came to a reputable surgeon who described a procedure that would relax the capsules that had formed around her implants and exchange her saline implants for larger silicone gel devices. She ultimately raised her implant size by 150cc. We used the same sizing system in her consult that we use with women who are consulting us regarding a primary augmentation. We simply added sizers to a sizing bra until she saw the size that she was going for. We then chose the implants to bring with us to the operating suite by adding the implant size she currently had in place and adding the volume of the sizers. It worked out very well. The size she was happy with in our office was the size that looked the best when we sat her up during surgery. She is a good example of the subtle changes (in some respects) that make a big difference in the look of the breasts along with careful planning.