57 year old woman who underwent a breast augmentation with another surgeon and was very unhappy with the result. Before photos show a high riding implant, significant asymmetry between the sides and fullness over the upper pole of the breast without any projection of the nipple area/central breast. A neopectoral technique was used to create a new space for the implant such that the prominence of the implant will be over the central part of the breast. Appropriate muscle release was also done to facilitate this. Note the full correction in the post-operative photos which show good symmetry, pleasing contours and lack of excessive upper chest fullness. Her initial implants were 275 cc right side and 250 cc left side classic profile, round, Mentor silicone gel implants. At the revision, implants were changed to 300 cc right and 275 cc left moderate plus profile, Mentor silicone gel implants. Implants were placed in the position under the muscle. She was very pleased with the outcome.