This patient with a problem I often encounter in women who have had breast augmentation previously by other surgeons. In an effort to compensate for her sagging, a wide full implant was placed which makes her look fat. The real issue here is that she needed a lift! So I removed the original implant, reconfigured the internal implant space higher and more central (capsuloplasty), closing off the lateral extent (see arrows) and performed a proper breast lift over the new implant.
**Look for the two moles on her left chest at her tan line and see how much higher the breast and nipple-areola are in relation to them in the post-op views.
A great aesthetic outcome.