This patient is a 68 year old woman who had undergone previous breast augmentation with lift procedures, who presented for a revision procedure to address concerns with persistent itching that she felt could relate to her breast implants. She understood that removing her implants may have no impact on her itching. She requested a procedure to have smaller breast size, higher breast position, improved shape. Following discussion of treatment options, she elected to pursue a procedure to have her breast implants removed and have a revision breast lift to attempt to provide optimal shape with the minimal amount of breast tissue present. She has been very pleased with her outcome to date.