44-year-old patient who previously had a breast lift, and her nipples were designed too high, “slipping” out of the bra or bikini. We performed a secondary breast lift to reduce the amount of skin at the lower pole and added small implants to provide fullness above the nipple for cosmetic balance and to achieve a lower nipple position relative to the implant to minimize nipple slipping. The impalnts are 190 cc low-profile submuscular Sientra