This 64-year-old woman originally had breast augmentation with saline implants placed 10 years ago. She noticed a deflation on her right breast after a recent mammogram and it was determined her implant had ruptured. She wanted to stay with saline implants but wanted to downsize. Moderate profile 225 cc saline implants were placed bilaterally. She is seen 2 months after surgery and is very pleased with her outcome.