This 33 year old female had saline breast augmentation 10 years ago. She had breast augmentation by another plastic surgeon and the implants were placed over the muscle. She had developed bottoming out on both breasts. She had been unhappy for many years and wanted to correct this deformity. Dr. Jaime Perez performed correction of bottoming out and exchange of saline implants to silicone implants at 420cc bilaterally. The new implants were placed under the pectoralis major muscle.