This patient, in her 60s, had 600 mL saline implants that had become far too large for her frame, leaving her breasts significantly stretched. Wanting them removed, she worked with Dr. Sisco on a staged approach: first deflating the implants to allow her skin and tissue time to adjust, then removing them several weeks later along with a mastopexy to restore a natural, well-supported shape. She’s thrilled with how much more proportionate and comfortable she feels.