This 51 year-old woman was seen by Dr. Fata two years after having a Vertical Breast Lift performed by another plastic surgeon. She was disappointed in the outcome regarding the size and shape of her breasts and especially the appearance of the nipples and areolas. The "before" photos show a depressed puckering of the scar of the right areola and an abnormal shape of both areolas. Dr. Fata recommended revision of both areolas to improve the scars and shape as well as enlarging and reshaping the breasts with silicone gel implants. She underwent the recommended breast lift revision with augmentation placing 325cc silicone implants under the muscle. Photos were taken before and two years after surgery.