This patient had a prior subglandular breast (over the muscle) breast augmentation by another surgeon years ago. She was unhappy with the visible rippling and desired more volume. Dr. Geiger performed pocket exchange, putting her new gummy bear implants under the muscle. This helps to add some additional padding over the implants in the cleavage area, which is particularly helpful to minimize rippling in very thin patients. Her new soft touch implants are 485cc full profile, while her old implants were ~ 385cc. She had a left breast lift to tighten the skin and elevate the nipple for improved symmetry.