The first stage involved placement of a tissue expander, reduction of the nipple areola complex, and a peri-areolar breast lift. After the first stage, the patient underwent in office expansions of her tissue expander to a final size of 550 cc to stretch her breast skin. During a second stage, the patient underwent replacement of her expanders with 550 cc silicone implants and had another peri-areolar lift. The patient will benefit from a formal breast lift to elevate her nipple areola higher, but she is very satisfied with her current results. Post-operative pictures are taken at 6 months after her second surgery.