This 55 year-old woman had saline breast augmentation 16 years ago placing the incision (and scar) along the edge of the areola of the nipple. The implants were removed 2 years later because of a recommendation by her primary care doctor for reasons that are at this time unclear. She presented to Dr. Fata because she felt that her breasts had a flat, deflated appearance. She also had a scar deformity on the right nipple creating a "dent-like" depression and distortion of the natural curve of the breast fold on the right. She underwent a peri-areolar breast lift (scar only around the areola of the nipple) and augmentation with 350cc silicone gel implants. On the right breast, she also had reconstruction of the breast fold and correction of the scar on the areola. She is shown before and 6 months after surgery.