39 year old female had breast augmentation with saline implants 7 years ago. Patient presented to office with excess skin on her lower breasts following pregnancy after her breast augmentation. Dr Samir Shah performed a removal and replacement of implants with a breast lift and MESH support. Patient’s saline implants were replaced with new cohesive 325 cc silicone implants to provide youthful and lifted look. In addition, composite fat grafting was done to enhance the upper pole and cleavage area