This patient is a 34 year old woman who was unhappy with the way her breasts looked. She missed having full, perky breasts and wanted to restore them to a more youthful appearance. Dr Perez performed a mastopexy with implants to give her the look she wanted. The breast lift part of the procedure elevated her breasts and corrected her grade two ptosis. Then, 355cc saline Sientra implants were placed below the muscle to give the patient additional volume and upper pole fullness. The patient is very happy with her fuller, more youthful looking breasts.