This 48 year old female had her original breast augmentation done by another surgeon in 2003 and was originally very happy, however she noted that the R implant became malpositioned too low and lateral, especially when lying flat.  After a consultation with Dr. Landon McLain, she decided to have the implants replaced with slightly larger implants and have her R breast implant lifted with an internal suturing technique called a capsulorrhaphy.  Her breasts are now slightly larger, symmetric and do not fall into her armpits when lying flat.