History: 2 previous silicone breast augmentations and periareolar (donut) mastopexy. procedure: removal and replacement of old submuscular silicone breast implants, capsulotomies, mastopexy, allergan moderate profile silicone implants, submuscular, 300 cc right, 270 cc left, 53 yrs, 5’5″, 146 lbs, 1.5 years post-op