This thirty-seven year old lady underwent circumarealor submuscular breast augmentation in 2001. Textured 360 cc saline implants were used. She did well and was pleased for 8 ½ years. In the fall of 2009 she noted gradual deflation of her left breast implant, without any history of injury or trauma. She underwent removal and replacement of the textured saline implants with larger 450 cc gel implants. She is now 2 months post-op and is delighted with her “improved look”.