This 5’ 4” 105 pound 40 year old mother of one had a prior breast augmentation at age 20 with saline filled implants in the subpectoral position. She woke up a week earlier and noticed that her right side had apparently deflated during the night. She is seen before and six months after her revision by Dr. Kalus who replaced her saline implants with 370 cc Smooth Round Moderate Plus Xtra silicone gel filled implants.