This mother of two had previously had breast augmentation done elsewhere. She believed that the implants were 450 cc in size, and wanted to go somewhat smaller, as well as to reshape her breasts. She came to our Scottsdale office, and Dr. Nachbar performed Breast Implant Exchange to smaller 371 cc cohesive silicone gel breast implants placed into the previous pockets, along with a breast lift. The muscle that had been over the implants had slipped upwards, and there was only a thin layer of tissue covering the implants. That makes the breast lift very tricky, but it can generally be done safely if great care is taken to minimize dissection and preserve as much blood supply to the nipple as possible.