44 year old female wanted breast enhancement after losing about 100 pounds after bariatric surgery. She was 5′ 11″” and had dropped from 261 to 165 pounds. She stated she was a 36 D before surgery, and was a full D after. A vertical mastopexy was done along with Mentor saline implants of nominnal volume 300 cc, filled to 325 cc. In addition to a modest increase in size, the implants provide some fullness and firmness that a mastopexy alone won’t provide.