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This 59 - year - old patient was unhappy with her breast augmentation and lift that was performed by another surgeon 12 years prior. She desired correction of her waterfall deformity (extra breast skin) and recurrent ptosis of the areolas. Dr. Zachary Borab pe rformed a revision breast lift with implant exchange to enhance the shape of the breast and correct the issues she was experiencing. Allergan Natrelle moderate profile 330cc implants were placed.