This 31 year old woman underwent prior left breast reconstruction and right mastopexy elsewhere several years prior to being seen by Dr. Kalus. She was unhappy with breast asymmetry, inframammary fold asymmetry, and the perception that her right nipple areola was too high. Dr. Kalus performed revision of her reconstruction with implant exchange and autologous fat grafting, and revision of her right mastopexy. She is seen nine months after her revision surgery and was very pleased.