This patient is a 44 year old female with a history of breast deflation over time. She desired a more full and lifted look. Her approach was to perform a lift first using her own tissue to augment her upper pole. She decided to add more volume with an implant, which we were easily able to do. Her two-stage approach to mastopexy-augmentation allowed us to create this excellent result using 265 cc low plus profile gummy bear silicone implants through the patient's old scars. She loves her full and youthful breasts.