History of submuscular 425 cc silicone implants and previous breast lift with lateral displacement, right rupture and concerns of persistent sagging and enlarged areola, 36D bra size. Procedure: removal and replacement of submuscular implants, inferior and lateral capsulorrhaphy (pocket tightening), breast lift, Allergan Inspira moderate profile silicone implants, 485 cc, 48 yrs, 5’5″, 142 lbs, 1 year 8 months post-op, 36D bra