This is a 45 year old female patient who was not satisfied with the appearance of her breasts. They were saggy and hung low on her frame, making her appear older than she was. Dr Perez performed a vertical mastopexy with implants to correct the appearance of her breasts. First, the breasts were lifted and excess skin removed to give her a more youthful look. Then, 355cc Sientra silicone implants were used to provide the patient with upper pole fullness. She is very pleased with her full and perky new breasts.