This 58-year-old woman had 2 previous breast augmentation procedures with silicone gel implants. She was bothered by the position of the right breast crease and had difficulty getting bras to fit well. She was also experiencing firmness of the left breast and wanted to obtain better symmetry. A bilateral breast revision with new 250cc silicone gel implants was performed, as well as a right capsulorrhaphy to elevate the right breast crease. Bilateral mastopexy was performed to elevate and rejuvenate the breasts. She is seen 3 1/2 months post-op and is thrilled with the symmetry and positioning of her breasts. She is now able to wear bras that fit her well.